Department of Cardiology, Hôpitaux Universitaires de Genève, Rue Gabrielle-Perret-Gentil 4, Geneva 1211, Switzerland; Centre de Recherche Cardiovasculaire de Paris, INSERM U970, 56 rue Leblanc, Paris 75015, France.
Department of Cardiology, Hôpitaux Universitaires de Genève, Rue Gabrielle-Perret-Gentil 4, Geneva 1211, Switzerland.
Heart Fail Clin. 2024 Apr;20(2):113-127. doi: 10.1016/j.hfc.2023.12.001. Epub 2024 Jan 2.
Adults with congenital heart disease (ACHD) are facing lifelong complications, notably heart failure (HF). This review focuses on classifications, incidence, prevalence, and mortality of HF related to ACHD. Diagnosing HF in ACHD is intricate due to anatomic variations, necessitating comprehensive clinical evaluations. Hospitalizations and resource consumption for ACHD HF have significantly risen compared with non-ACHD HF patients. With more than 30% prevalence in complex cases, HF has become the leading cause of death in ACHD. These alarming trends underscore the insufficient understanding of ACHD-related HF manifestations and management challenges within the context of aging, complexity, and comorbidity.
成人先天性心脏病（ACHD）患者面临着终身并发症，特别是心力衰竭（HF）。本综述重点介绍了与 ACHD 相关的 HF 的分类、发病率、患病率和死亡率。由于解剖变异，ACHD 患者 HF 的诊断较为复杂，需要进行全面的临床评估。与非 ACHD HF 患者相比，ACHD HF 的住院率和资源消耗显著增加。在复杂病例中，HF 的患病率超过 30%，已成为 ACHD 患者死亡的主要原因。这些令人担忧的趋势表明，在老龄化、复杂性和合并症的背景下，人们对 ACHD 相关 HF 表现和管理挑战的认识不足。
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