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[成人法洛四联症:临床心脏病专家需要了解的内容]

[The adult with tetralogy of fallot: what the clinical cardiologist needs to know].

作者信息

Chávez-Saldívar Samantha, Mego Juan Carlos, Tauma-Arrué Astrid, Coronado Joel, Luis-Ybáñez Odalis, Bravo-Jaimes Katia

机构信息

Facultad de Medicina San Fernando. Universidad Nacional Mayor de San Marcos. Lima, Perú. Universidad Nacional Mayor de San Marcos Facultad de Medicina San Fernando Universidad Nacional Mayor de San Marcos Lima Peru.

Sociedad Científica de San Fernando. Lima, Perú. Sociedad Científica de San Fernando Lima Perú.

出版信息

Arch Peru Cardiol Cir Cardiovasc. 2021 Jun 30;2(2):121-129. doi: 10.47487/apcyccv.v2i2.138. eCollection 2021 Apr-Jun.

DOI:10.47487/apcyccv.v2i2.138
PMID:38274563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10809779/
Abstract

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. After more than seven decades of the first palliative surgery, TOF prognosis has changed dramatically. The prevalence of TOF is approximately 3 per 10 000 births, representing 7 to 10% of congenital heart disease. With a higher survival into adulthood, the clinical cardiologist faces challenges in the management of this population, from severe pulmonary regurgitation to heart failure and ventricular arrhythmias. Its prevalence is approximately 3 per 10 000 live births, representing 7 to 10% of congenital heart disease. This review will describe the most relevant aspects of the care of adult patients with this disease.

摘要

法洛四联症(TOF)是最常见的青紫型先天性心脏病。在首次姑息性手术后的七十多年里,TOF的预后发生了巨大变化。TOF的发病率约为每10000例出生中有3例,占先天性心脏病的7%至10%。随着成年后生存率的提高,临床心脏病专家在管理这一人群时面临挑战,从严重的肺动脉反流到心力衰竭和室性心律失常。其发病率约为每10000例活产中有3例,占先天性心脏病的7%至10%。本综述将描述患有这种疾病的成年患者护理的最相关方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3411/10809779/4646fd3a78d6/apcyccv-2-121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3411/10809779/4646fd3a78d6/apcyccv-2-121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3411/10809779/4646fd3a78d6/apcyccv-2-121-g001.jpg

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本文引用的文献

1
Diagnosis and treatment of right ventricular dysfunction in congenital heart disease.先天性心脏病右心室功能障碍的诊断与治疗
Cardiovasc Diagn Ther. 2020 Oct;10(5):1625-1645. doi: 10.21037/cdt-20-370.
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Survival in Children With Congenital Heart Disease: Have We Reached a Peak at 97%?先天性心脏病患儿的存活率:我们是否已经达到了 97%的峰值?
J Am Heart Assoc. 2020 Nov 17;9(22):e017704. doi: 10.1161/JAHA.120.017704. Epub 2020 Nov 6.
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Barriers and Facilitators of Palliative Care and Advance Care Planning in Adults With Congenital Heart Disease.
成人先天性心脏病患者的姑息治疗和预先医疗指示的障碍和促进因素。
Am J Cardiol. 2020 Nov 15;135:128-134. doi: 10.1016/j.amjcard.2020.08.038. Epub 2020 Aug 28.
4
Recommendations for advance care planning in adults with congenital heart disease: a position paper from the ESC Working Group of Adult Congenital Heart Disease, the Association of Cardiovascular Nursing and Allied Professions (ACNAP), the European Association for Palliative Care (EAPC), and the International Society for Adult Congenital Heart Disease (ISACHD).成人先天性心脏病患者预先医疗指示的推荐意见:ESC 成人先天性心脏病工作组、心血管护理和相关专业协会(ACNAP)、欧洲姑息治疗协会(EAPC)以及国际成人先天性心脏病学会(ISACHD)的立场文件。
Eur Heart J. 2020 Nov 14;41(43):4200-4210. doi: 10.1093/eurheartj/ehaa614.
5
Correlation Between Total Repair Timing and Late Aortic Root Dilatation in Repaired Tetralogy of Fallot.法洛四联症根治术后总修复时间与晚期主动脉根部扩张的相关性。
Pediatr Cardiol. 2020 Oct;41(7):1501-1508. doi: 10.1007/s00246-020-02394-z. Epub 2020 Jul 29.
6
Transcatheter Interventions in Adult Congenital Heart Disease.成人先天性心脏病的经导管介入治疗。
Cardiol Clin. 2020 Aug;38(3):403-416. doi: 10.1016/j.ccl.2020.04.005. Epub 2020 Jun 6.
7
Tetralogy of Fallot.法洛四联症。
Cardiol Clin. 2020 Aug;38(3):365-377. doi: 10.1016/j.ccl.2020.04.009. Epub 2020 Jun 10.
8
Updated Strategies for Pulse Oximetry Screening for Critical Congenital Heart Disease.更新的脉搏血氧饱和度筛查严重先天性心脏病的策略。
Pediatrics. 2020 Jul;146(1). doi: 10.1542/peds.2019-1650. Epub 2020 Jun 4.
9
[Factors associated with survival at one year of life in neonates with severe congenital cardiopathy in A National Hospital in Peru].[秘鲁一家国立医院中患有严重先天性心脏病的新生儿一岁时的生存相关因素]
Rev Peru Med Exp Salud Publica. 2019 Jul-Sep;36(3):433-441. doi: 10.17843/rpmesp.2019.363.4166. Epub 2019 Dec 2.
10
Mechanism and Risk Factors for Death in Adults With Tetralogy of Fallot.法洛四联症成人死亡的机制和危险因素。
Am J Cardiol. 2019 Sep 1;124(5):803-807. doi: 10.1016/j.amjcard.2019.05.048. Epub 2019 Jun 7.