New adult congenital heart disease guidelines released

New adult congenital heart disease guidelines released
New adult congenital heart disease guidelines released

HealthDay News — New guidelines have been issued for patients aged more than 40 years with congenital heart disease by the American Heart Association. The new guidelines can be found in Circulation.

There are now more adults with congenital heart disease than children with the disease, Ami Bhatt, MD, said in an American Heart Association (AHA) statement.

"These patients often have a sense that their heart has been 'fixed' and they don't need follow-up," said Bhatt, director of the Adult Congenital Heart Disease Program at Massachusetts General Hospital in Boston, Massachusetts.

"However, in adulthood they can develop complications from the underlying disease or the heart repairs that kept them alive as children. Therefore, these adults need lifelong cardiac care."

Patients over 40 with congenital heart disease should exercise, although it's common for them to have a certain level of intolerance of physical activity; most of these patients can be sexually active, although they should consult their doctor in certain situations, such as when they're anxious about sexual activity or resuming it after a new problem or cardiac procedure; and erectile dysfunction drugs are safe for many men with congenital heart disease unless they're taking nitrates or their condition requires them to abstain from sexual activity.

As for women, vaginal estrogen therapy can help those with vaginal dryness. Women who are thinking about taking hormone replacement therapy to deal with symptoms like hot flashes during menopause should be aware of a higher risk of venous thromboembolism during some cardiac procedures.

In addition, patients should be monitored by a cardiologist and keep records of their childhood diagnoses and treatments.

"Patients should be proactive to ensure that their providers are well-versed in their disease and should respectfully encourage their providers to seek expert consultation if they are not," Bhatt said.

References

  1. Bhatt AB et al. Circulation. 2015; doi: 10.1161/CIR.0000000000000204
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