ID 110317
タイトルヨミ
セイジンキ センテンセイ シンゾウビョウ ノ モンダイテン : シュウガク シュウショク ニンシン シュッサン
タイトル別表記
Problems in patients with congenital heart diseases : school attendance, getting employment, pregnancy and delivery
著者
森, 一博 徳島市民病院小児科
キーワード
adult congenital heart disease
Fontan
cyanosis
資料タイプ
学術雑誌論文
抄録
Congenital heart diseases comprise a wide spectrum heart disease with varying levels of severity. More complex condition, such as post Fontan patients with univentricular heart, requires lifelong follow up care by various kind of doctors, including pediatric cardiologist, obstetrician and gynecologist, internal medicine specialist, and cardiovascular surgeon. In addition to the medial problems, many patients with congenital heart disease are facing specific psychological, educational, and behavioral challenges and issues. The outcome of pregnancy is favorable in most women with congenital heart disease, provided class and systemic ventricular function are good. A recent survey highlighted endocarditis and pulmonary hypertension as the major risk factors for maternal death. Arrhythmia, most commonly atrial flutter, is an increasingly important cause of morbidity and mortality. Management may require cardiac catheterization, electrophysiological mapping with ablation, cardiac surgery, or a combination of these approaches. Acquired heard disease(coronary arterial disease and systemic hypertension)will occur with increasing frequency as the population ages. These acquired heart diseases can also cause worsening symptoms on the congenital heart disease. These problems may be solved by providing the organized cardiac units stuffed by properly trained specialists in various fields.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
66
3-4
開始ページ
71
終了ページ
76
並び順
71
発行日
2010-08-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版