Adult congenital heart disease: a growing epidemic
| Autor: | François Marcotte, Annie Dore, Pablo Ávila, Paul Khairy, Anita W. Asgar, Pierre de Guise, Joaquim Miro, Blandine Mondésert, Reda Ibrahim, Lise-Andrée Mercier, Nancy Poirier, Gregor Andelfinger, François-Pierre Mongeon |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Heart Defects Congenital medicine.medical_specialty Pediatrics Heart disease Population MEDLINE Pediatric specialty Subspecialty Health care medicine Prevalence Humans Intensive care medicine education Child Patient Care Team education.field_of_study Primary Health Care business.industry Incidence (epidemiology) Incidence medicine.disease Cardiology and Cardiovascular Medicine business Delivery of Health Care Resource utilization |
| Zdroj: | The Canadian journal of cardiology. 30 |
| ISSN: | 1916-7075 |
| Popis: | Medical and surgical breakthroughs in the care of children born with heart defects have generated a growing population of adult survivors and spawned a new subspecialty of cardiology: adult congenital heart disease. The prevalence of adult congenital heart disease is escalating at a rampant rate, outpacing the relatively static prevalence of pediatric congenital heart disease, because adults now surpass children in numbers by a ratio of 2:1. As such, congenital heart disease can no longer be considered primarily a pediatric specialty. Most congenital heart defects are not curable and require lifelong specialized care. Health care systems worldwide are challenged to meet the unique needs of this increasingly complex patient population, including the development of supraregional centres of excellence to provide comprehensive and multidisciplinary specialized care. In this review, we explore the incidence and prevalence of congenital heart disease and their changing patterns, address organization and delivery of care, highlight the importance of appropriate training and dedicated research, summarize the high burden of health care resource utilization, and provide an overview of common issues encountered in adults with congenital heart disease. |
| Databáze: | OpenAIRE |
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