Adult congenital heart disease (achd)
Congenital heart defects (CHDs) are the most common types of birth defects, and babies born with these conditions are living longer and healthier lives.
Statistics
According to the [CDC], about 1 million U.S. children and about 1.4 million U.S. adults were living with CHDs. There are slightly more adults living with CHDs than children.
Living with adult CHD
People with a CHD can develop other health problems related to their heart defect over time such as the following:
Infective Endocarditis
Infective endocarditis is an infection in the layers of the heart. If left untreated, it can lead to other problems, such as a blood clot, heart valve damage, or heart failure. Guidelines recommend that individuals with certain heart defects take oral antibiotics before having certain procedures, such as dental or surgical procedures. However, these guidelines have been updated, and many people with a CHD, such as those with valve stenosis or an unrepaired ventricular septal defect, no longer need to take antibiotics before procedures. Each person should discuss his or her condition with the doctor to find out if antibiotics are recommended for him or her.
Arrhythmia Arrhythmia is a problem with how the heart beats. The heart can beat too fast, too slow, or irregularly. This can lead to a problem with the heart not pumping enough blood out to the body and can increase the risk for blood clots. Some people with a heart defect can have an arrhythmia associated with their heart defect or as a result of past treatments or procedures for their heart defect. Some people can have an arrhythmia even in the absence of any heart defects.
Pulmonary Hypertension Pulmonary hypertension is high blood pressure in the arteries (blood vessels) that lead from the heart to the lungs. Certain heart defects can cause pulmonary hypertension, which forces the heart and lungs to work harder. If the pulmonary hypertension is not treated, over time the right side of the heart can become enlarged, and heart failure can occur.
Liver Disease People with single ventricle heart defects can develop liver disease associated with their heart defect or as a result of past treatments or procedures for their heart defect. It is important for people with this type of heart defect to see a healthcare provider regularly to stay as healthy as possible.
Other Conditions
As adults with CHDs age, they can get other diseases of adulthood, such as diabetes, obesity, or atherosclerosis (buildup of cholesterol in the arteries).
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Contributors: Prab R. Tumpati, MD