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Risk Stratification and Prognosis

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Heart Failure in Adult Congenital Heart Disease

Part of the book series: Congenital Heart Disease in Adolescents and Adults ((CHDAA))

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Abstract

In order to adequately manage the rapidly expanding population of patients with adult congenital heart disease (ACHD) and to optimize patient outcomes, accurate prognostication is of paramount importance. A large part of the risk stratification of patients with ACHD is based on the underlying anatomical defect, concomitant lesions, and type of corrective surgery that was performed. In addition, components of the medical history, physical examination, and further diagnostic tests (including ECG, echocardiography, cardiac magnetic resonance imaging, exercise testing, and biomarkers) can provide prognostic information. This chapter provides a narrative review of the factors that have been identified as predictors for heart failure and other late complications in the entire cohort of patients with ACHD and within specific congenital subgroups.

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Authors and Affiliations

  1. Department of Cardiology, Erasmus University Medical Center, Rotterdam, The Netherlands

    Vivan J. M. Baggen M.D., Laurie W. Geenen B.Sc. & Jolien W. Roos-Hesselink M.D., Ph.D.

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  1. Vivan J. M. Baggen M.D.
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  2. Laurie W. Geenen B.Sc.
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  3. Jolien W. Roos-Hesselink M.D., Ph.D.
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Correspondence to Jolien W. Roos-Hesselink M.D., Ph.D. .

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  1. Royal Brompton Hospital, London, United Kingdom

    Lorna Swan

  2. ATTIKON University Hospital, Athens University, Athens, Greece

    Alexandra A. Frogoudaki

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Baggen, V.J.M., Geenen, L.W., Roos-Hesselink, J.W. (2018). Risk Stratification and Prognosis. In: Swan, L., Frogoudaki, A. (eds) Heart Failure in Adult Congenital Heart Disease. Congenital Heart Disease in Adolescents and Adults. Springer, Cham. https://doi.org/10.1007/978-3-319-77803-7_4

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