1 The growing population of ACHD patients.- 2 Incidence and prevalence of HF in ACHD.- 3 Causes of HF in ACHD.- 4 Assessment of the HF patient- Diagnosis.- 5 Risk stratification & prognosis.- 6 Non-medical treatment & lifestyle modification.- 7 Drug therapies.- 8 Device therapy & rhythm management.- 9 Mechanical support.- 10 Transplantation.- 11 Holistic care & palliation.- 12 Future research.- 13 Co-morbidities.- 14 Specific conditions - Fontan & univentricular heart.- 15 Specific conditions - Systemic RV.
This book sheds new light on the diagnosis and treatment of Heart Failure in adult patients with congenital heart disease. This is a rapidly growing clinical issue for this group of patients and the clinical teams caring for them. The book highlights the major clinical dilemmas in diagnosing heart failure in patients with a lifelong cardiac condition and describes in details the utility of biomarkers, complex imaging and functional tests, e.g. the cardiopulmonary exercise testing. A step-wise approach to treatment is described from drug therapy through to devices and transplantation. As such, the book offers an essential guide for cardiologists and cardiac surgeons looking to optimize the management of patients with delicate physiology and complex disease.
Lorna Swan is the Clinical Lead for Adult Congenital Heart Disease (ACHD) at the Royal Brompton Hospital, London - one of the oldest and largest units in the world. Lorna trained in Glasgow, London and Toronto. Her previous roles have included being a council member of the British Congenital Cardiac Association and a nucleus member of the ESC GUCH Working Group. Her main interests include Pregnancy and Heart Disease and ACHD Heart Failure.
Alexandra Frogoudaki runs the Adult Congenital Heart Disease Service at the University General Hospital ATTIKON in Athens. Prior to that she trained in Greece and London. She was the previous elected president of the Greek working group on ACHD and is currently the national coordinator of the ESC pregnancy register. Dr. Frogoudaki is the senior author of the ESC Heart Failure -ACHD position paper published in 2016.