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Intensive Care Unit Management of the Adult with Congenital Heart Disease.
Kendsersky, Payton; Krasuski, Richard A.
  • Kendsersky P; Department of Medicine, Duke University Medical Center, Durham, NC, USA.
  • Krasuski RA; Division of Cardiology, Duke University Medical Center, DUMC 3010, Durham, NC, 27710, USA. richard.krasuski@duke.edu.
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. RECENT

FINDINGS:

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.
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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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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