Intensive Care Unit Management of the Adult with Congenital Heart Disease.
Curr Cardiol Rep
; 22(11): 136, 2020 09 10.
Article
in English
| MEDLINE | ID: covidwho-755955
ABSTRACT
PURPOSE:
Adults with congenital heart disease (ACHD) are a rapidly growing population with ever-increasing complexity, and intensive care unit (ICU) management is often necessary. This review summarizes common cardiovascular and non-cardiovascular complications in ACHD and provides a framework for ICU care. RECENTFINDINGS:
Heart failure is the leading cause of hospitalization and mortality in ACHD. Varied anatomy and repairs, as well as differing physiological complications, limit generalized application of management algorithms. Recent studies suggest that earlier mechanical support in advanced cases is feasible and potentially helpful. Cardiac arrhythmias are poorly tolerated and often require immediate attention. Other complications requiring intensive care include infections such as endocarditis and COVID-19, pulmonary hypertension, renal failure, hepatic dysfunction, coagulopathy, and stroke. Successful ICU care in ACHD requires a multi-disciplinary approach with careful consideration of anatomy, physiology, and associated comorbidities. Few studies have formally examined ICU management in ACHD and further research is necessary.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Coronavirus Infections
/
Critical Care
/
Pandemics
/
Heart Diseases
/
Intensive Care Units
Type of study:
Observational study
Limits:
Adult
/
Humans
Language:
English
Journal:
Curr Cardiol Rep
Journal subject:
Cardiology
Year:
2020
Document Type:
Article
Affiliation country:
S11886-020-01389-9
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