title: Adult congenital heart disease: A paradigm of epidemiological change.
abstract: Increasing survival rates for patients with congenital heart disease (CHD) represent a major achievement of modern medicine. Despite incredible progress been made in diagnosis, follow-up, early treatment and management in adulthood, many patients are faced with long-term complications, such as arrhythmia, thromboembolism, heart failure, pulmonary hypertension, endocarditis and/or the need for reoperation. In parallel, half of the patients are female, most of childbearing age, and, thus warrant specialist reproductive counseling and appropriate obstetric care. It is not surprising therefore, that healthcare utilization has steadily increased for CHD in recent years. Furthermore, cardiology and other medical disciplines are now faced with new challenges, namely the provision of expert care and optimal, lifelong medical surveillance for these patients.
authors.affiliation: First Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.
authors.forename: Despοina
authors.initials: D
authors.lastname: Ntiloudi
authors.affiliation: First Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece. Electronic address: giannak@med.auth.gr.
authors.forename: George
authors.initials: G
authors.lastname: Giannakoulas
authors.affiliation: First Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.
authors.forename: Despοina
authors.initials: D
authors.lastname: Parcharidou
authors.affiliation: First Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.
authors.forename: Theofilos
authors.initials: T
authors.lastname: Panagiotidis
authors.affiliation: Adult Congenital Heart Centre, The National Heart and Lung Institute, Imperial College London, Royal Brompton Hospital, London, UK.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Gatzoulis
authors.affiliation: First Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.
authors.forename: Haralambos
authors.initials: H
authors.lastname: Karvounis
mesh_terms: D000328:Adult; D019468:Disease Management; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006330:Heart Defects, Congenital / Q000453:epidemiology* / Q000401:mortality; D006801:Humans; D008297:Male; D011159:Population Surveillance; D012727:Sex Characteristics; D016019:Survival Analysis
keywords: Arrhythmia; Congenital heart disease; Epidemiology; Heart failure; Pregnancy; Pulmonary hypertension