☆ 4.6 Review

Changing epidemiology of congenital heart disease: effect on outcomes and quality of care in adults

NATURE REVIEWS CARDIOLOGY (2023)

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Post-traumatic stress disorder, anxiety, and depression among adults with congenital heart defects

Regina M. Simeone et al.

Summary: Individuals with congenital heart defects (CHDs) have a higher prevalence of post-traumatic stress disorder (PTSD), anxiety, and depressive disorders compared to those without CHDs. Among individuals with CHDs, female sex and inpatient admission are associated with higher rates of anxiety/depressive disorders. Early screening and appropriate referral for mental health services may be beneficial for individuals with CHDs.

BIRTH DEFECTS RESEARCH (2022)

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Article Cardiac & Cardiovascular Systems

Sense of coherence in adults with congenital heart disease in 15 countries: Patient characteristics, cultural dimensions and quality of life

Philip Moons et al.

Summary: This study investigated the relationship between sense of coherence (SOC) and quality of life (QoL) in adults with congenital heart disease (CHD) from 15 countries, finding a positive association between SOC and QoL. Significant intercountry variation in SOC was observed, with the lowest SOC in Japan. Cultural dimensions such as power distance index and individualism vs collectivism were found to be related to SOC.

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Article Cardiac & Cardiovascular Systems

Risk prediction models for heart failure admissions in adults with congenital heart disease

Sarah Cohen et al.

Summary: The study aimed to develop a risk prediction system for HF hospitalization in ACHD patients and successfully identified high-risk patients using predictors such as age, sex, CHD lesion severity, recent HFH history, and comorbidities. The risk scoring system showed excellent prediction performance.

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The Task Force for the management of adult congenital heart disease of the European Society of Cardiology (ESC)

Helmut Baumgartner et al.

EUROPEAN HEART JOURNAL (2021)

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Review Cardiac & Cardiovascular Systems

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Abdulaziz Joury et al.

Summary: In the past decade, advancements in wireless and sensor technologies have revolutionized cardiac care, leading to more convenient and accurate treatment options for patients through the use of wireless and leadless cardiac devices. This review discusses the concept, function, indications, methods of delivery, potential complications, consideration for implantation, and cost-effectiveness of commonly used devices in digital health care for cardiac patients.

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Recurrent disease progression networks for modelling risk trajectory of heart failure

Xing Han Lu et al.

Summary: Motivation Recurrent neural networks (RNN) are powerful tools for modeling medical time series data. This study focuses on heart failure (HF) and proposes a novel RNN framework named Deep Heart-failure Trajectory Model (DHTM) for long-term trajectory prediction. The results show higher prediction accuracy compared to baseline models, with the augmented model DHTM+C showing potential for improved prediction for high-risk patients. Multiple real patient examples illustrate the promising path for creating accurate and scalable longitudinal deep learning models for chronic disease modeling.

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The burden of cardiovascular risk factors among seniors with congenital heart disease: A single tertiary center experience

Anna Kwiatek-Wrzosek et al.

Summary: The study revealed that among ACHD patients aged 60 and above, being overweight/obesity, dyslipidemia, and arterial hypertension are the most common cardiovascular risk factors, with over half of the patients having two or more risk factors. Patients above 70 years of age are relatively healthier, and those with mild ACHD are more likely to have hypertension.

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Amy E. Delaney et al.

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Disability Among Young Adults With Congenital Heart Defects: Congenital Heart Survey to Recognize Outcomes, Needs, and Well-Being 2016-2019

Karrie F. Downing et al.

Summary: This study evaluated the prevalence of disabilities and associated characteristics among adults with CHD, revealing that 40% of participants reported having disabilities, with cognition impairments being the most common. The prevalence of disability types among individuals with CHD was 5 to 8 times higher compared to the general population, and disabilities were found to be associated with impaired HRQOL.

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Lifespan Perspective on Congenital Heart Disease Research JACC State-of-the-Art Review

Gerhard-Paul Diller et al.

Summary: With over 90% of patients with congenital heart disease (CHD) now surviving to adulthood, the focus of CHD care is shifting towards a lifespan perspective and proactive approach. Emerging concepts such as a life course epidemiology framework and long-term trajectories are providing new insights for CHD research. The potential of technology, especially machine learning, in facilitating longitudinal research and embracing big data is also highlighted.

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American College of Cardiology Body Mass Index Counseling Quality Improvement Initiative

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Summary: Overweight/obesity is a prevalent cardiovascular risk factor in children, which can lead to increased risk of adverse outcomes in children with heart disease. The ACC developed quality metrics, including a BMI metric, to identify and counsel overweight and obese children in cardiology clinics. Through a multicenter collaborative learning QI project, participating centers aimed to increase the percentage of children between ages 3 and 18 with a BMI > 85th percentile who received appropriate counseling.

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Systematic assessment of health care perception in adults with congenital heart disease in Germany

Rhoia Neidenbach et al.

Summary: The study reveals that ACHD patients in Germany lack awareness of ACHD care structures available nationwide, despite their great need for specialized follow-up, advice, and care.

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Development of an international standard set of clinical and patient-reported outcomes for children and adults with congenital heart disease: a report from the International Consortium for Health Outcomes Measurement Congenital Heart Disease Working Group

Kevin Hummel et al.

Summary: This study aimed to identify a minimum standard set of outcomes for global health systems in the context of congenital heart disease (CHD). Through a series of steps including involving all CHD stakeholders in a working group, extensive literature reviews, Delphi processes, and dissemination worldwide, a 15-item outcome set was established, incorporating physical, mental, social, and overall health outcomes along with tools for measurement and case-mix adjustment variables. Over 80% of patients and providers surveyed agreed with the final outcome set.

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Adverse Outcomes Prediction for Congenital Heart Surgery: A Machine Learning Approach

Dimitris Bertsimas et al.

Summary: The study developed nonlinear models using artificial intelligence for predicting outcomes in congenital heart surgery, with optimal classification trees demonstrating outstanding performance and intuitively interpretable features. This methodology has the potential to facilitate decision-making and resource optimization in CHS.

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Summary: The scoping review on adult palliative care in Africa revealed individual, system, and relational barriers to the access and utilization of palliative care. The majority of studies reviewed used cross-sectional and retrospective study designs, highlighting the need for more qualitative research in this area. Future research could focus on exploring underlying factors to barriers and understanding ethno-religious perspectives on palliative care in Africa.

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Risk of coronary artery disease in adults with congenital heart disease: A comparison with the general population

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Fouke Ombelet et al.

INTERNATIONAL JOURNAL OF CARDIOLOGY (2020)

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Prevalence and Prognostic Association of a Clinical Diagnosis of Depression in Adult Congenital Heart Disease: Results of the Boston Adult Congenital Heart Disease Biobank

Matthew R. Carazo et al.

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Sarah A. Goldstein et al.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2020)

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Hannah Lonsdale et al.

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Updated Strategies for Pulse Oximetry Screening for Critical Congenital Heart Disease

Gerard R. Martin et al.

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Chronic Paradoxes: A Systematic Review of Qualitative Family Perspectives on Living With Congenital Heart Defects

Marie Kofod Svensson et al.

QUALITATIVE HEALTH RESEARCH (2020)

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2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary

Karen K. Stout et al.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2019)

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Machine learning algorithms estimating prognosis and guiding therapy in adult congenital heart disease: data from a single tertiary centre including 10019 patients

Gerhard-Paul Diller et al.

EUROPEAN HEART JOURNAL (2019)

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Global birth prevalence of congenital heart defects 1970-2017: updated systematic review and meta-analysis of 260 studies

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Education as important predictor for successful employment in adults with congenital heart disease worldwide

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Prevalence and Correlates of Post-traumatic Stress Disorder in Adults With Congenital Heart Disease

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Sense of coherence and perceived physical health explain the better quality of life in adolescents with congenital heart disease

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Endorsement of Health and Human Services Recommendation for Pulse Oximetry Screening for Critical Congenital Heart Disease

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Temporal Trends in Survival to Adulthood Among Patients Born With Congenital Heart Disease From 1970 to 1992 in Belgium

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