Adult Congenital Heart Disease Flashcards¶
Q: How many adults with CHD are in the US? A: >1.4 million (now outnumber children with CHD) Tags: achd, epidemiology, high-yield
Q: What is the survival rate to adulthood for CHD born today? A: ~90% Tags: achd, survival
Q: What percentage of ACHD patients experience gap in care during transition? A: ~50% Tags: achd, transition, high-yield
Q: What lesions are considered SEVERE complexity (require specialty center)? A: Single ventricle/Fontan, TGA, truncus arteriosus, cyanotic CHD, Eisenmenger, pulmonary atresia, DORV Tags: achd, complexity, high-yield
Q: What lesions are considered MODERATE complexity? A: Repaired TOF, moderate-severe valve disease, coarctation, Ebstein, AVSD, sinus venosus ASD Tags: achd, complexity
Q: When should transition preparation begin? A: Early adolescence Tags: achd, transition
Q: What is the CHD recurrence risk if parent has CHD? A: ~3-5% Tags: achd, pregnancy, recurrence, high-yield
Q: What are high-risk conditions for pregnancy in ACHD? A: Severe PH, cyanosis, severe ventricular dysfunction, mechanical valves, Marfan with dilated aorta, Fontan Tags: achd, pregnancy
Q: What does 2025 ACHD guideline emphasize about mental health? A: Routine psychological screening, neurocognitive assessment, address anxiety/depression/PTSD Tags: achd, mental-health
Q: What is the exercise recommendation for most ACHD patients? A: Most should exercise; individualized assessment; avoid blanket restrictions Tags: achd, exercise