NDLI: Heart Failure in Adult Congenital Heart Disease: Nonpharmacologic Treatment Strategies.

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Heart Failure in Adult Congenital Heart Disease: Nonpharmacologic Treatment Strategies.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	LeMond, Lisa Mai, Tuan Broberg, Craig S. Muralidaran, Ashok Burchill, Luke J.
Description	Country affiliation: United States Author Affiliation: LeMond L ( Adult Congenital Heart Disease Program, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR 97239, USA.); Mai T ( Adult Congenital Heart Disease Program, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR 97239, USA.); Broberg CS ( Adult Congenital Heart Disease Program, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR 97239, USA.); Muralidaran A ( Pediatric Cardiac Surgery, Doernbecher Children's Hospital, Oregon Health & Science University, Portland, OR 97239, USA.); Burchill LJ ( Adult Congenital Heart Disease Program, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR 97239, USA. Electronic address: burchilu@ohsu.edu.)
Abstract	In early stages, heart failure (HF) in adult congenital heart disease (ACHD) remains an elusive diagnosis. Many ACHD patients seem well-compensated owing to chronic physical and psychological adaptations. HF biomarkers and cardiopulmonary exercise tests are often markedly abnormal, although patients report stable health and good quality of life. Treatment differs from acquired HF. Evidence for effective drug therapy in ACHD-related HF is lacking. Residual ventricular, valvular, and vascular abnormalities contribute to HF pathophysiology, leading to an emphasis on nonpharmacologic treatment strategies. This article reviews emerging perspectives on nonpharmacologic treatment strategies, including catheter-based interventions, surgical correction, and palliative care.
File Format	HTM / HTML
ISSN	07338651
Issue Number	4
Volume Number	33
e-ISSN	15582264
Journal	Cardiology Clinics
Language	English
Publisher	Elsevier
Publisher Date	2015-11-01
Publisher Place	Netherlands
Access Restriction	Subscribed
Subject Keyword	Discipline Cardiology Heart Defects, Congenital Complications Heart Failure Etiology Therapy Adult Physiopathology Surgery Humans Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine

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