Cited 2 times since 2012 (0.2 per year) source: EuropePMC Nederlands tijdschrift voor geneeskunde, Volume 156, Issue 17, 1 1 2012, Pages A3767 [Many adults with congenital heart disease are lost to follow up]. Vis JC, Schuuring MJ, van der Velde ET, Engelfriet-Rijk LC, Harms IM, Mantels S, Bouma BJ, Mulder BJ
Objective
Identification of adults with congenital heart disease (CHD) who were lost to cardiological follow-up.
Design
Cross-sectional study.
Method
Adults with CHD and not under cardiological follow-up were asked via a nationwide publicity campaign to contact the CONCOR (CONgenital CORvitia) project group.
Results
A total of 593 patients with mild (85%) to moderate-severe (15%) CHD were registered via the nationwide campaign. Of these patients, 66% were examined within 1 year by a cardiologist. Additional cardiac follow-up was necessary within 1 year in 22% of these patients. In 16% of the patients, new residual lesions were found; and in three of these patients the pulmonary valve required replacement.
Conclusion
During this comprehensive nationwide campaign it became clear that a considerable number of adults with CDH fail to receive regular cardiac care. However, after surgical correction of CHD in childhood, residual lesions are common in this population. Threatening residual lesions can be present asymptomatically. Cardiological follow-up is therefore almost always necessary, also in patients without symptoms. Patients with CHD as well as their medical care personnel need to be well informed of this.
