{"title":"The Adult Patient with Congenital Heart Disease in the Emergency Department","authors":"Salil Ginde MD","doi":"10.1016/j.cpem.2018.12.010","DOIUrl":null,"url":null,"abstract":"<div><p><span>It is well recognized that adult survivors with congenital heart disease are at risk for several cardiac and noncardiac complications that can impact their long-term outcomes. </span>Emergency departments<span> are increasingly being used for the evaluation and management of acute complications in these patients. However, there are several issues that are unique to adults with congenital heart disease related to the complexity of their cardiac anatomy<span>, previous surgical intervention, and residual hemodynamic lesions that can complicate their presentation and management. This review examines the many challenges faced in caring for adults with congenital heart disease presenting to the emergency department, including the issues related to underlying cardiac lesion, access to care, and the evaluation and management of common clinical presentations.</span></span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 4","pages":"Pages 358-366"},"PeriodicalIF":0.0000,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.12.010","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Pediatric Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1522840118300843","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
It is well recognized that adult survivors with congenital heart disease are at risk for several cardiac and noncardiac complications that can impact their long-term outcomes. Emergency departments are increasingly being used for the evaluation and management of acute complications in these patients. However, there are several issues that are unique to adults with congenital heart disease related to the complexity of their cardiac anatomy, previous surgical intervention, and residual hemodynamic lesions that can complicate their presentation and management. This review examines the many challenges faced in caring for adults with congenital heart disease presenting to the emergency department, including the issues related to underlying cardiac lesion, access to care, and the evaluation and management of common clinical presentations.
期刊介绍：
This practical journal is devoted to helping pediatricians and emergency physicians provide the best possible care for their young patients. Each topical issue focuses on a single condition frequently seen. Cogently written review articles synthesize practical new advances in the field giving you the authoritative guidance on disease process, diagnosis, and management you need to achieve the best results.
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