Author/Editor		Koželj, Mirta; Prokšelj, Katja; Terseglav, Simon; Podnar, Tomaž
Title		Management of adult congenital heart diseases in Slovenia
Translated title		Obravnava odraslih bolnikov s prirojenimi srčnimi napakami v Sloveniji
Type		članek
Source		Slov Kardiol
Vol. and No.		Letnik 2, št. 2
Publication year		2005
Volume		str. 126-9
Language		eng
Abstract		The incidence of congenital heart disease (CHD) is 0.8%. Ninety percent of patients (pts) with congenital heart diseases (CHD) survive to adulthood. The aim of this article is to present an overview of ACHD in Slovenia. With a fertility rate of 18,000 newborns per year, there are 100 new such pts each year in Slovenia. A specialized centre for ACHD has operated at the Ljubljana University Medical Centre since 1998. The transfer to adult care is done at the age of 18. Speciat attention is paid to the management of these diseases during pregnancy. Over the 7-year period between 1998 and 2004, 603 adult pts (age at admittance 18-76 years, mean age 31 years) with CHD were admited, but their number continues to rise. Out of these 603 pts, 168 were diagnosed in adulthood (Group A) and 435 childhood (Group B). Atrial septal defect was the most common cardiac malformation (23.7%) and also the most common abnormality detected in adulthood (56.5%). Two hundred and twelve pts (48.7% of patients in Group B) underwent surgicat correction in childhood. Sixty-six pts were operated on in adulthood. Twenty-seven percutaneous closures were performed, with closure of atrial septal defect (21 pts) and occlusion of patent ductus arteriosus (6 pts). No major complications were observed. The overall mortality rate of our pts is 1.3% (8 out of 603 pts). The results are comparable to similar studies and also to the results of the Euro Heart Survey Study on Congenital Heart Disease in Adutts, in which we also participated as investigators.
Summary		Pojavnost prirojenih srčnih napak je 0,8 %. Devetdeset odstotkov otrok s prirojenimi srčnimi napakami preživi do odraslega obdobja. Namen tega prispevka je prikazati načina obravnave odraslih bolnikov s prirojenimi srčnimi napakami v Sloveniji. V Sloveniji se na leto rodi okoli 18 000 otrok, kar pomeni, da imamo v Sloveniji vsako leto 100 novih bolnikov s prirojenimi srčnimi napakami. Od 1998. leta deluje v sklopu Kliničnega oddelka za kardiologijo posebna enota za prirojene srčne napake pri odraslih. Prehod iz otroškega v odraslo obdobje se vrši po 18. letu starosti. Še posebne skrbi so deležne tudi nosečnice z boleznimi srca. V 7-letnem obdobju od 1998 do 2004 beležimo 603 odrasle bolnike s prirojenimi srčnimi napakami (poprečna starost ob sprejemu 31 let). Njihovo število iz leta v leto narašča. 168 bolnikov je bilo odkritih prvič v odraslem obdobju (skupina A) in pri 435 so napako ugotovili že v otroštvu (skupina B). Defekt medpreddvornega pretina je bila najpogostejša napaka (23,7 %). Prav tako je bil tudi najpogostejša napaka odkrita v odraslem obdobju (56,5 %). 212 bolnikov (48,7 % v skupini B) so operirali že v otroštvu, 66 pa so jih prvič operirali v odraslem obdobju. Perkutano smo zaprli 22 defektov medpreddvornih pretinov tipa sekundum in šestim bolnikom smo perkutano zaprli odprt Botallov vod. Pri tem ni bilo pomembnih zapletov. Celokupna umrtjivost med našimi bolniki je bila 1,3 % (8 bolnikov od skupno 603). Rezultati so primerljivi s podobnimi študijami v svetu in tudi z rezultati študije Euro Heart Survey on Congenital Heart Disease, delovali kot raziskovalci.
Descriptors		HEART DEFECTS, CONGENITAL ADULT