PMID- 36774635
OWN - NLM
STAT- MEDLINE
DCOM- 20230214
LR  - 20230214
IS  - 1788-6120 (Electronic)
IS  - 0030-6002 (Linking)
VI  - 164
IP  - 6
DP  - 2023 Feb 12
TI  - [Congenital heart diseases in patients above the age of 60 years. Results from 
      the CSONGRAD Registry].
PG  - 219-226
LID - 10.1556/650.2023.32698 [doi]
AB  - INTRODUCTION: Development in paediatric and interventional cardiology and cardiac 
      surgery resulted in an increase in the number and average age of adult congenital 
      heart disease patients. Comorbidities may appear with increased age leading to 
      new challenges in the diagnosis and treatment of this complex group of patients. 
      OBJECTIVE: The aim of this study is to compare clinical and echocardiographic 
      parameters in adult congenital heart disease patients under our care below the 
      age of 40 years, between 40 and 59 years and above the age of 60 years. METHOD: 
      Data of a total of 346 patients were analyzed; 154 patients were under 40 years 
      of age, 133 patients were between 40 and 59 years of age, and 59 patients were 60 
      years old or older. All adult congenital heart disease patients who underwent an 
      outpatient examination were included in the study. As part of the physical 
      examination, the New York Heart Association (NYHA) clinical classification of 
      heart failure was determined, electrocardiography, echocardiography and 6-minute 
      walk test were performed. RESULTS: Above the age of 40, the ratio of 
      comorbidities increased, significantly more patients were classified into NYHA 
      functional classes III-IV and the ratio of patients having a left ventricular 
      ejection fraction below 55% significantly increased. The prevalence of arrhythmia 
      was similar in all age groups, but an increasing tendency could be seen with age. 
      CONCLUSION: There is a growing number of elderly adult congenital heart disease 
      patients with comorbidities that play an important role in the management and in 
      the outcome of congenital heart disease. New protocols and recommendations are 
      required in the follow-up of these patients to help determining the optimal time 
      for reoperation, intervention or heart transplantation. Orv Hetil. 2023; 164(6): 
      219-226.
FAU - Ambrus, Nora
AU  - Ambrus N
AD  - 1 Szegedi Tudomanyegyetem, Szent-Gyorgyi Albert Orvostudomanyi Kar, 
      Belgyogyaszati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorszag.
FAU - Havasi, Kalman
AU  - Havasi K
AD  - 1 Szegedi Tudomanyegyetem, Szent-Gyorgyi Albert Orvostudomanyi Kar, 
      Belgyogyaszati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorszag.
FAU - Halcsik, Renata
AU  - Halcsik R
AD  - 1 Szegedi Tudomanyegyetem, Szent-Gyorgyi Albert Orvostudomanyi Kar, 
      Belgyogyaszati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorszag.
FAU - Forster, Tamas
AU  - Forster T
AD  - 1 Szegedi Tudomanyegyetem, Szent-Gyorgyi Albert Orvostudomanyi Kar, 
      Belgyogyaszati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorszag.
FAU - Nemes, Attila
AU  - Nemes A
AD  - 1 Szegedi Tudomanyegyetem, Szent-Gyorgyi Albert Orvostudomanyi Kar, 
      Belgyogyaszati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorszag.
LA  - hun
PT  - English Abstract
PT  - Journal Article
TT  - Veleszuletett szivbetegsegek 60 eves kor felett. Eredmenyek a CSONGRAD 
      regiszterbol.
DEP - 20230212
PL  - Hungary
TA  - Orv Hetil
JT  - Orvosi hetilap
JID - 0376412
SB  - IM
MH  - Humans
MH  - Adult
MH  - Child
MH  - Aged
MH  - Aged, 80 and over
MH  - *Heart Defects, Congenital
MH  - Stroke Volume
MH  - Ventricular Function, Left
MH  - Echocardiography
MH  - *Heart Failure/epidemiology
MH  - Registries
OTO - NOTNLM
OT  - adult congenital heart disease in elderly
OT  - comorbidity
OT  - heart failure
OT  - idoskori felnott congenitalis szivbetegseg
OT  - szivelegtelenseg
OT  - tarsbetegseg
EDAT- 2023/02/13 06:00
MHDA- 2023/02/15 06:00
CRDT- 2023/02/12 14:06
PHST- 2022/11/15 00:00 [received]
PHST- 2022/12/04 00:00 [accepted]
PHST- 2023/02/12 14:06 [entrez]
PHST- 2023/02/13 06:00 [pubmed]
PHST- 2023/02/15 06:00 [medline]
AID - 10.1556/650.2023.32698 [doi]
PST - epublish
SO  - Orv Hetil. 2023 Feb 12;164(6):219-226. doi: 10.1556/650.2023.32698. Print 2023 
      Feb 12.