Adult congenital heart disease investigated with cardiac catheterization over a 20-year period

George D. Giannoglou, Antonios P. Antoniadis, Yiannis S. Chatzizisis, George E. Louridas

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Recent advances in diagnosis and treatment have increased the life expectancy of patients with congenital heart disease. Methods: To investigate the prevalence of adult congenital heart disease (ACHD) in a large registry of patients over a 20-year period, we retrospectively assessed data of 14,012 males and 4,461 females who underwent clinically indicated cardiac catheterization from 1984 to 2003. Results: ACHD was recorded in 234 subjects aged from 18 to 66 years, [95 males (40.7%) and 139 females (59.3%)]. Females were more likely to present with ACHD than males (p<0.001). Atrial septal defect was the most common defect (43.3%) followed by partial anomalous pulmonary venous return (12.0%), pulmonary valve stenosis (11.3%) ventricular septal defect (8.0%), coarctation of aorta (5.5%) patent ductus arteriosus (4.0%) and Fallot's tetralogy (3.3%). Atrial septal defect was more common in females (p<0.01), while pulmonary valve stenosis was more frequent in males (p<0.05). No difference across sexes was found in the other forms of ACHD. Females with ACHD were significantly older than males at the time of catheterization (median age 41 years, interquartile range 26 to 53 years vs. median age 35 years, interquartile range 22 to 48 years, p<0.05). Conclusions: In adulthood ACHD is found more commonly in females and is diagnosed later in life than in males. Atrial septal defect is the most prevalent form of ACHD and occurs most commonly in females.

Original languageEnglish (US)
Pages (from-to)124-127
Number of pages4
JournalOpen Cardiovascular Medicine Journal
Volume3
DOIs
StatePublished - Sep 24 2009

Fingerprint

Cardiac Catheterization
Heart Diseases
Atrial Heart Septal Defects
Pulmonary Valve Stenosis
Scimitar Syndrome
Patent Ductus Arteriosus
Aortic Coarctation
Tetralogy of Fallot
Ventricular Heart Septal Defects
Life Expectancy
Catheterization
Sex Characteristics
Registries

Keywords

  • Adult congenital heart disease
  • Cardiac catheterization
  • Epidemiology
  • Sex

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Adult congenital heart disease investigated with cardiac catheterization over a 20-year period. / Giannoglou, George D.; Antoniadis, Antonios P.; Chatzizisis, Yiannis S.; Louridas, George E.

In: Open Cardiovascular Medicine Journal, Vol. 3, 24.09.2009, p. 124-127.

Research output: Contribution to journalArticle

Giannoglou, George D. ; Antoniadis, Antonios P. ; Chatzizisis, Yiannis S. ; Louridas, George E. / Adult congenital heart disease investigated with cardiac catheterization over a 20-year period. In: Open Cardiovascular Medicine Journal. 2009 ; Vol. 3. pp. 124-127.
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abstract = "Background: Recent advances in diagnosis and treatment have increased the life expectancy of patients with congenital heart disease. Methods: To investigate the prevalence of adult congenital heart disease (ACHD) in a large registry of patients over a 20-year period, we retrospectively assessed data of 14,012 males and 4,461 females who underwent clinically indicated cardiac catheterization from 1984 to 2003. Results: ACHD was recorded in 234 subjects aged from 18 to 66 years, [95 males (40.7{\%}) and 139 females (59.3{\%})]. Females were more likely to present with ACHD than males (p<0.001). Atrial septal defect was the most common defect (43.3{\%}) followed by partial anomalous pulmonary venous return (12.0{\%}), pulmonary valve stenosis (11.3{\%}) ventricular septal defect (8.0{\%}), coarctation of aorta (5.5{\%}) patent ductus arteriosus (4.0{\%}) and Fallot's tetralogy (3.3{\%}). Atrial septal defect was more common in females (p<0.01), while pulmonary valve stenosis was more frequent in males (p<0.05). No difference across sexes was found in the other forms of ACHD. Females with ACHD were significantly older than males at the time of catheterization (median age 41 years, interquartile range 26 to 53 years vs. median age 35 years, interquartile range 22 to 48 years, p<0.05). Conclusions: In adulthood ACHD is found more commonly in females and is diagnosed later in life than in males. Atrial septal defect is the most prevalent form of ACHD and occurs most commonly in females.",
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