Cardiovascular Morbidity and Mortality in Adult Patients With Repaired Aortic Coarctation.


Journal

Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524

Informations de publication

Date de publication:
16 11 2021
Historique:
pubmed: 11 11 2021
medline: 26 2 2022
entrez: 10 11 2021
Statut: ppublish

Résumé

Background The long-term burden of cardiovascular disease after repair of coarctation of the aorta (CoA) has not been elucidated. We aimed to determine the incidence of and risk factors for cardiovascular events in adult patients with repaired CoA. Additionally, mortality rates were compared between adults with repaired CoA and the general population. Methods and Results Using the Dutch Congenital Corvitia (CONCOR) registry, patients aged ≥16 years with previous surgical or transcatheter CoA repair from 5 tertiary referral centers were included. Cardiovascular events were recorded, comprising coronary artery disease, stroke/transient ischemic attack, aortic complications, arrhythmias, heart failure hospitalizations, endocarditis, and cardiovascular death. In total, 920 patients (median age, 24 years [range 16-74 years]) were included. After a mean follow-up of 9.3±5.1 years, 191 patients (21%) experienced at least 1 cardiovascular event. A total of 270 cardiovascular events occurred, of which aortic complications and arrhythmias were most frequent. Older age at initial CoA repair (hazard ratio [HR], 1.017; 95% CI, 1.000-1.033 [

Identifiants

pubmed: 34755532
doi: 10.1161/JAHA.121.023199
pmc: PMC8751912
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e023199

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Auteurs

Timion A Meijs (TA)

Department of Cardiology University Medical Center Utrecht Utrecht The Netherlands.

Savine C S Minderhoud (SCS)

Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands.

Steven A Muller (SA)

Department of Cardiology University Medical Center Utrecht Utrecht The Netherlands.

Robbert J de Winter (RJ)

Department of Cardiology Amsterdam UMC, Location Academic Medical Center Amsterdam The Netherlands.

Barbara J M Mulder (BJM)

Department of Cardiology Amsterdam UMC, Location Academic Medical Center Amsterdam The Netherlands.

Joost P van Melle (JP)

Department of Cardiology University Medical Center Groningen Groningen The Netherlands.

Elke S Hoendermis (ES)

Department of Cardiology University Medical Center Groningen Groningen The Netherlands.

Arie P J van Dijk (APJ)

Department of Cardiology Radboud University Medical Center Nijmegen The Netherlands.

Nicolaas P A Zuithoff (NPA)

Department of Epidemiology and Biostatistics Julius Center for Health Sciences and Primary Care Utrecht The Netherlands.

Gregor J Krings (GJ)

Department of Pediatric Cardiology Wilhelmina Children's Hospital Utrecht The Netherlands.

Pieter A Doevendans (PA)

Department of Cardiology University Medical Center Utrecht Utrecht The Netherlands.
Department of Cardiology Central Military Hospital Utrecht The Netherlands.
Netherlands Heart Institute Utrecht The Netherlands.

Maarten Witsenburg (M)

Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands.

Jolien W Roos-Hesselink (JW)

Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands.

Annemien E van den Bosch (AE)

Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands.

Berto J Bouma (BJ)

Department of Cardiology Amsterdam UMC, Location Academic Medical Center Amsterdam The Netherlands.

Michiel Voskuil (M)

Department of Cardiology University Medical Center Utrecht Utrecht The Netherlands.

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