Pharmacological management of heart failure in adults with congenital heart disease.

ACEI/ARBs ARNIs Beta blockers Congenital heart disease Heart failure MRAs SGLT-2 inhibitors

Journal

Heart failure reviews
ISSN: 1573-7322
Titre abrégé: Heart Fail Rev
Pays: United States
ID NLM: 9612481

Informations de publication

Date de publication:
12 Aug 2024
Historique:
accepted: 25 07 2024
medline: 13 8 2024
pubmed: 13 8 2024
entrez: 12 8 2024
Statut: aheadofprint

Résumé

Congenital heart disease (CHD) is the most common global congenital defect affecting over 2.4 million individuals in the United States. Ongoing medical and surgical advancements have improved the survival of children with CHD leading to a shift where, as of 2010, adults constitute two-thirds of the CHD patient population. The increasing number and aging of adult congenital heart disease (ACHD) patients present a clinical challenge due to heightened complexity, morbidity, and mortality. Studies indicate that 1 in 13 ACHD patients will develop heart failure (HF) in their lifetime. ACHD-HF patients experience more frequent emergency department visits, higher hospitalization rates, longer hospital stays, and higher mortality compared to non-ACHD patients with heart failure (non-ACHD-HF). Despite HF being the leading cause of death in ACHD patients, there is a notable gap in evidence regarding treatment. While guideline-directed medical therapy (GDMT) has been extensively studied in non-ACHD-HF, research specific to ACHD-HF individuals is limited. This article aims to comprehensively review available literature addressing the pharmacological treatment of ACHD-HF.

Identifiants

pubmed: 39134780
doi: 10.1007/s10741-024-10428-4
pii: 10.1007/s10741-024-10428-4
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Barbara Karnkowska (B)

Department of Internal Medicine, University of Texas Medical Branch, 301 University Blvd, 4.174 John Sealy Annex, Galveston, TX, 77555, USA. bekarnko@utmb.edu.

Wissam Harmouch (W)

Department of Internal Medicine, University of Texas Medical Branch, 301 University Blvd, 4.174 John Sealy Annex, Galveston, TX, 77555, USA.

Peter Newman (P)

Department of Pediatrics, University of Texas Medical Branch, Galveston, TX, USA.

Hamza Malik (H)

Department of Internal Medicine, University of Texas Medical Branch, 301 University Blvd, 4.174 John Sealy Annex, Galveston, TX, 77555, USA.

Bisma Khwaja (B)

Department of Internal Medicine, University of Texas Medical Branch, 301 University Blvd, 4.174 John Sealy Annex, Galveston, TX, 77555, USA.

Alexandra Lewis (A)

University of Texas Medical Branch, John Sealy School of Medicine, Galveston, TX, USA.

Mohammed Faluk (M)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, TX, USA.

Khaled Chatila (K)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, TX, USA.

Classifications MeSH