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Review
. 2015 Nov;33(4):625-34, ix.
doi: 10.1016/j.ccl.2015.07.005.

More Than Just the Heart: Transition and Psychosocial Issues in Adult Congenital Heart Disease

Adrienne H Kovacs  1 , Elisabeth M Utens  2
Affiliations
Review

More Than Just the Heart: Transition and Psychosocial Issues in Adult Congenital Heart Disease

Adrienne H Kovacs et al. Cardiol Clin. 2015 Nov.

Abstract

Most infants born with congenital heart disease (CHD) are now expected to reach adulthood. However, adults with CHD of moderate or great complexity remain at elevated risk of heart failure, arrhythmias, additional surgeries and interventional procedures, and premature mortality. This creates a need for lifelong specialized cardiac care and leads to 2 sets of potential challenges: (1) the transition from pediatric to adult care and (2) the psychosocial implications of coping with a chronic and often life-shortening medical condition. Many adolescents struggle with the transition to adult care, and mood and anxiety disorders are not uncommon in the adult setting.

Keywords: Adult congenital heart disease; Anxiety; Depression; Psychosocial; Transition.

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