title: Late outcomes of congenital heart disease.
abstract: In our days, more than 90% of children with congenital heart disease (CHD) reach adolescence and adult life, and therapeutic procedures are performed with late quality of life (QOL) in mind. Rates of success are now assessed at long range by sequels, residues and adaptation of the individuals to normality. The attempt to identify factors to avoid psychopathological sequels in this group of "new" cardiac patients is one of the most important aspects of studies on late outcome of congenital heart disease. This fact remains valid in the current era and is in consonance with the attitude to more and more value child-adolescent and adolescent-adult transitions in patients with CHD submitted or not to surgical or percutaneous intervention in childhood. Resilience and ability to adapt could also be improved by a multiprofessional approach of attitudes, abilities and psychological characteristics, aiming to prevent the psychopathologic effects of the disease.
authors.affiliation: Division of Pediatric Cardiology, Institute of Cardiology of Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Nestor Santos
authors.initials: NS
authors.lastname: Daudt
authors.affiliation: Division of Pediatric Cardiology, Institute of Cardiology of Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Paulo
authors.initials: P
authors.lastname: Zielinsky
keywords: Congenital heart disease (CHD); late outcomes; psychosocial adjustment (PSA); quality of life (QOL); risk factor
references.citation: Heart. 2001 Jun;85(6):710-5
references.pmid: 11359761
references.citation: Cardiol Young. 2002 Dec;12(6):549-53
references.pmid: 12636003
references.citation: J Am Coll Cardiol. 2005 Jul 5;46(1):1-8
references.pmid: 15992627
references.citation: Pediatrics. 2008 May;121(5):e1060-7
references.pmid: 18450848
references.citation: Transl Pediatr. 2013 Jul;2(3):90-8
references.pmid: 26835299
references.citation: J Am Coll Cardiol. 1996 Sep;28(3):763-7
references.pmid: 8772769
references.citation: Eur J Obstet Gynecol Reprod Biol. 1997 Dec;75(1):43-50
references.pmid: 9447346