Cardiopatías congénitas del adulto

Liévano, John; Reyes, Cristián

doi:10.1016/j.rccar.2017.11.005

Cited by 3 publications

(5 citation statements)

References 21 publications

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“…Se estableció que la cardiopatía congénita más frecuente fue la comunicación interauricular, representado el 41.8%, siendo predominante en el sexo femenino; seguida de la estenosis aórtica con 29.7%, predominante en el sexo masculino. Esto, en concordancia con la bibliografía que señala que la comunicación interauricular corresponde del 22% al 30% de patologías cardiacas congénitas en adultos; siendo la más común en este grupo etario [3]. Esto se explica por la poca o nula sintomatología, la buena tolerancia al esfuerzo físico y la larga sobrevida que hacen que, en general, la comunicación interauricular no se diagnostique hasta la edad adulta, justificando su mayor incidencia entre los casos de cardiopatías congénitas en adultos.…”

Section: Discussionunclassified

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Incidencia de cardiopatías congénitas en población adulta en el Hospital de Especialidades José Carrasco Arteaga - Cuenca entre 2015 y 2020

Lituma

Rodríguez

2022

Rev Med HJCA

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BACKGROUND: Congenital heart diseases have different degrees of severity, from structural alterations that can put life at risk, to asymptomatic pathologies that may not be detected in childhood. The World Health Organization points out that 18% of newborns with congenital heart disease will not be diagnosed until adulthood. The aim of this study was to determine the incidence of congenital heart disease in adult population at Hospital de Especialidades José Carrasco Arteaga in the period 2015-March 2020. METHODS: This is a descriptive, observational, cross-sectional study. The universe are all the patients from 18 years of age or older treated in the outpatient clinic and hospitalization. To consider the incidence, we filtered the patients with an ICD- 10 diagnosis of the congenital heart diseases considered, it was verified that the initial diagnosis was made in the HEJCA, in adulthood, during the established period of the study and that the diagnosis has been confirmed by imaging studies. In addition to the incidence, other clinical variables were studied, such as manifestations, family history of congenital heart disease, other diagnosed congenital pathologies, mortality, need for surgery, hospitalization, and days of hospitalization. RESULTS: The incidence of congenital heart disease in adults was 227 in 219 960 patients treated at the HEJCA; 58.6% of the diagnosed patients were female. Most of the patients were diagnosed in the age range of 46 to 64 years. 84.1% were acyanotic heart disease. Atrial septal defect represented 41.8% of all diagnosed heart diseases. The most common manifestations were murmur (36.8%) and dyspnea (27.8%). Only 6.6% of the population did not present clinical manifestations. 29.1% of the patients underwent surgery. Mortality in these patients was 12.3%. CONCLUSION: The incidence of congenital heart disease diagnosed in adults in HEJCA from 2015 to March 2020 was 0.1%. There was a higher incidence in females. The mean age of diagnosis was 48.5 years. The most common heart disease was atrial septal defect, followed by congenital aortic stenosis. The most frequent combination of clinical manifestations was dyspnea and murmur. The mean age of death was 57.5 years, with a mortality of 12.3%.

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Section: Discussionunclassified

“…Las cardiopatías congénitas que con mayor frecuencia se diagnostican en la adultez son la estenosis aórtica en su variedad de aorta bivalva, comunicación interauricular, comunicación interventricular, conducto arterioso persistente y la coartación de aorta [3].…”

Section: Introductionunclassified

Incidencia de cardiopatías congénitas en población adulta en el Hospital de Especialidades José Carrasco Arteaga - Cuenca entre 2015 y 2020

Lituma

Rodríguez

2022

Rev Med HJCA

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“…La mayoría se presentan en la infancia. En niños, si es una cardiopatía aislada, puede ser asintomática [7,8]. En neonatos puede presentarse con bajo gasto sistémico y congestión pulmonar [1].…”

Section: Introductionunclassified

“…La ecosonografía prenatal es crucial para el screening prenatal; a pesar de que el diagnóstico prenatal se logra en menos de 1/3 de los casos [1]. Ante la sospecha, la primera prueba imagenológica a realizarse es el ecocardiograma transtorácico que nos ayuda a determinar el gradiente, así como la existencia de malformaciones asociadas; sin embargo, el nivel de la coartación puede ser difícil de localizar debido a una ventana acústica deficiente y a que este examen es operador dependiente [1,7]. En radiografía de tórax se puede observar una figura paramediastínica en forma de tres (Signo de 3) debido a que la coartación de la aorta origina una dilatación preestenótica y posestenótica [1]; en adultos se pueden observar muescas costales (el signo de Roessler) de la cuarta a la octava costillas.…”

Section: Introductionunclassified

“…En radiografía de tórax se puede observar una figura paramediastínica en forma de tres (Signo de 3) debido a que la coartación de la aorta origina una dilatación preestenótica y posestenótica [1]; en adultos se pueden observar muescas costales (el signo de Roessler) de la cuarta a la octava costillas. La aortografía es todavía el gold standard; sin embargo, su naturaleza invasiva y la carga de radiación, han hecho de la RMN y la TC, las técnicas no invasivas de primera línea para esta patología [1,7].…”

Section: Introductionunclassified

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Caso Clínico: Resolución quirúrgica de coartación de aorta en un paciente pediátrico

et al. 2021

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BACKGROUND: Coarctation of the aorta is a congenital heart disease with an incidence of 4 per 10 000 live births, it may or may not be associated with patent ductus arteriosus as well as other malformations. It is usually asymptomatic and diagnosed by its classic signs such as; arterial pressure gradient between extremities, reduced pulses in the lower extremities, arterial hypertension in the upper extremities or, in severe cases, left heart failure. Its resolution can be percutaneous or surgical, depending on the patient’s age and the characteristics of the defect. CASE REPORTS: A 6-year-old male patient, asymptomatic, with suspected aortic coarctation, due to a difference between arterial pressures in the upper and lower limbs, lower limbs with reduced pulses, and a systolic murmur in the aortic focus. An echocardiogram was requested, which reported a bicuspid aortic valve with raphe, mild regurgitation, and coarctation of the aorta; CT angiography showed coarctation of the juxtaductal aorta; cardiac catheterization showed almost no passage of contrast through the defect, so surgical treatment was scheduled. EVOLUTION: Surgical correction was performed by coartectomy with end-to-end anastomosis and closure of the ductus arteriosus. After the intervention, a relevant improvement in the pressure gradient between the extremities was observed. In the postoperative period the patient presented hypertension, that we managed to control, the patient progressed favorably and was discharged after 4 days without antihypertensive treatment. CONCLUSION: Life expectancy in patients who underwent surgery to correct a congenital heart disease is higher than in those who don’t, so timely diagnosis is an important tool to improve life quality and life expectancy.

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Prevalencia de factores asociados a la enfermedad cardiovascular y su relación con el ausentismo laboral de los trabajadores de una entidad oficial

Hernández-Martínez¹,

Varona-Uribe²,

Hernández³

2020

Revista Colombiana de Cardiología

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Cardiopatías congénitas del adulto

Cited by 3 publications

References 21 publications

Incidencia de cardiopatías congénitas en población adulta en el Hospital de Especialidades José Carrasco Arteaga - Cuenca entre 2015 y 2020

Incidencia de cardiopatías congénitas en población adulta en el Hospital de Especialidades José Carrasco Arteaga - Cuenca entre 2015 y 2020

Caso Clínico: Resolución quirúrgica de coartación de aorta en un paciente pediátrico

Prevalencia de factores asociados a la enfermedad cardiovascular y su relación con el ausentismo laboral de los trabajadores de una entidad oficial

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