title: [Congenital heart disease in adults: outpatient clinic profile at the Hospital das Clínicas of Ribeirão Preto].
abstract: BACKGROUND
  Service experiences for adults with congenital heart disease have not been reported in our country.
  
  
  OBJECTIVE
  To describe the basic clinical profile of adults with congenital heart disease in an outpatient tertiary care center.
  
  
  METHODS
  We compiled data on age, gender, place of residence, primary diagnosis, and secondary diagnoses of 413 patients treated for seven years.
  
  
  RESULTS
  G1 (untreated): 195 patients, 51% women, 57% between 14 and 30 years, 80% living in the region. The most frequent heart diseases were ventricular septal defect (VSD) (31%), atrial septal defect (ASD) (29%), and pulmonary stenosis (7%). The predominant secondary diagnoses were hypertension (9%) and arrhythmias (5%). G2 (treated): 218 patients, 56% women, 57% between 14 and 30 years, 81% living in the region. The most frequently treated heart diseases were: ASD (36%), tetralogy of Fallot (14%), coarctation of the aorta (12%), and VSD (11%). Sixty-nine (32%) patients were operated on for congenital heart diseases in adulthood. Sixteen (7%) underwent an interventional catheterization. The predominant secondary diagnoses were hypertension (18%) and arrhythmias (8%).
  
  
  CONCLUSIONS
  In the study, most patients were treated invasively, all of them were residents in the region, and most of them were under 40 years of age. Defects such as ASD, VSD, and pulmonary stenosis predominated in the untreated group, whereas in the treated group, most patients had undergone surgical correction of ASD, tetralogy of Fallot, aortic coarctation, and VSD. Hypertension and arrhythmias were relevant in both groups, and a large variety of other comorbidities were also observed.
authors.affiliation: Hospital das Clínicas, Ribeirão Preto, SP, Brasil. ftamaral@cardiol.br
authors.forename: Fernando
authors.initials: F
authors.lastname: Amaral
authors.forename: Paulo Henrique
authors.initials: PH
authors.lastname: Manso
authors.forename: João Antonio
authors.initials: JA
authors.lastname: Granzotti
authors.forename: Walter Villela de Andrade
authors.initials: WV
authors.lastname: Vicente
authors.forename: Andre
authors.initials: A
authors.lastname: Schmidt
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000503:physiopathology; D001938:Brazil / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000706:statistics & numerical data*; D017678:Sex Distribution; D016896:Treatment Outcome; D055815:Young Adult