PMID- 37801566
OWN - NLM
STAT- MEDLINE
DCOM- 20231101
LR  - 20231120
IS  - 1678-9741 (Electronic)
IS  - 0102-7638 (Print)
IS  - 0102-7638 (Linking)
VI  - 38
IP  - 6
DP  - 2023 Oct 6
TI  - Adult Congenital Heart Disease: Report from a Public Reference Hospital in 
      Northeastern Brazil.
PG  - e20230039
LID - 10.21470/1678-9741-2023-0039 [doi]
LID - e20230039
AB  - INTRODUCTION: The increasing worldwide number of adults with congenital heart 
      disease (CHD) demands greater attention from health professionals. The purpose of 
      this report is to describe the clinical demographic profile, frequency, and 
      invasive treatment status of adults with CHD in a public reference hospital in 
      northeastern Brazil. METHODS: This is a retrospective cross-sectional study 
      including 704 patients attended between August 2016 and August 2020. Data were 
      collected from virtual database. RESULTS: Patients' age varied from 17 to 81 
      years (mean 32+/-14; median 27 years); 294 (41.8%) patients were male, and 410 
      (58,2%) were female; 230 (32,7%) had diagnosis from age 18 and up. Cardiac 
      complexity categories were "simple defects" (134 [19%] patients), "moderate 
      complexity" (503 [71.5%]), and "great complexity" (67 [9.5%]). Atrial septal 
      defect (ASD) was diagnosed in 216 (30.7%) patients, ventricular septal defect 
      (VSD) in 101 (14.3%), tetralogy of Fallot in 93 (13.2%), and other CHD in 294 
      (41.8%). New York Heart Association (NYHA) functional classes were I (401 [57%]), 
      II (203 [28.8%]), III (76 [10.8%]), and IV (24 [3.4%]). Complications were 
      arrhythmias (173 [24%]) and severe pulmonary hypertension (69 [9.8%]). Invasive 
      treatments were corrective surgery (364 (51.6%]), reoperation (28 [4.0%]), 
      palliation (11 [1.6%]), interventional catheterization (12 [1.7%]), surgery plus 
      interventional catheterization (5 [0.7%]), and preoperation (91 [12.9%]). 
      Treatment was not required in 102 (14,5%) patients, and 91 (12.9%) were 
      inoperable. CONCLUSION: The leading diagnosis was ASD. Frequency of unrepaired 
      patients was high, mainly ASD, due to late diagnosis, which favored complications 
      and denotes a matter of great concern.
FAU - Diogenes, Maria Suely Bezerra
AU  - Diogenes MSB
AUID- ORCID: 0000-0001-6477-875X
AD  - Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, Ceara, Brazil.
FAU - Valente, Acrisio Sales
AU  - Valente AS
AD  - Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, Ceara, Brazil.
FAU - Rocha, Hermano Alexandre Lima
AU  - Rocha HAL
AD  - Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, Ceara, Brazil.
AD  - Department of Public Health, Faculdade de Medicina, Universidade Federal do 
      Ceara, Fortaleza, Ceara, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20231006
PL  - Brazil
TA  - Braz J Cardiovasc Surg
JT  - Brazilian journal of cardiovascular surgery
JID - 101677045
SB  - IM
MH  - Adult
MH  - Humans
MH  - Male
MH  - Female
MH  - Adolescent
MH  - Young Adult
MH  - Middle Aged
MH  - Aged
MH  - Aged, 80 and over
MH  - *Heart Defects, Congenital/epidemiology/surgery/complications
MH  - *Tetralogy of Fallot/surgery
MH  - Retrospective Studies
MH  - Brazil/epidemiology
MH  - Cross-Sectional Studies
MH  - *Heart Septal Defects, Atrial/surgery
MH  - Hospitals
PMC - PMC10550255
OTO - NOTNLM
OT  - Atrial Septal Defect 5
OT  - Cardiac Surgical Procedures
OT  - Congenital Heart Defects
OT  - Reoperation
OT  - Tetralogy of Fallot
COIS- No conflict of interest.
EDAT- 2023/10/06 18:42
MHDA- 2023/11/01 12:43
PMCR- 2023/09/19
CRDT- 2023/10/06 14:15
PHST- 2023/11/01 12:43 [medline]
PHST- 2023/10/06 18:42 [pubmed]
PHST- 2023/10/06 14:15 [entrez]
PHST- 2023/09/19 00:00 [pmc-release]
AID - 10.21470/1678-9741-2023-0039 [doi]
PST - epublish
SO  - Braz J Cardiovasc Surg. 2023 Oct 6;38(6):e20230039. doi: 
      10.21470/1678-9741-2023-0039.