Department of Cardiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Emory Adult Congenital Heart Center, Emory University, 1365 A Clifton Road Northeast, Atlanta, GA 30322, USA.
Crit Care Clin. 2024 Jan;40(1):179-191. doi: 10.1016/j.ccc.2023.09.002. Epub 2023 Sep 29.
This article provides a broad overview of key concepts and more commonly encountered critical illness presentations in adult congenital heart disease (ACHD) patients. General principles are discussed, and the need for ACHD subspecialty consultation is emphasized. ACHD is categorized based on hemodynamic profile, and common clinical presentations are reviewed, including common pitfalls. Many ACHD lesions are associated with predictable complications, and awareness of these associations can guide evaluation and management, which are listed in this article.
本文对成人先天性心脏病(ACHD)患者中的关键概念和更常见的危重病表现进行了全面概述。讨论了一般原则,并强调了对 ACHD 亚专科咨询的需求。ACHD 根据血流动力学特征进行分类,并回顾了常见的临床表现,包括常见的陷阱。许多 ACHD 病变与可预测的并发症相关,了解这些关联可以指导评估和管理,本文列出了这些关联。