Acquired Cardiovascular Diseases in Patients with Pulmonary Hypertension Due to Congenital Heart Disease: A Case Report
<i>Background:</i> Advances in the diagnosis and treatment of congenital heart diseases (CHDs) have resulted in improved survival rates for CHD patients. Up to 90% of individuals with mild CHD and 40% with complex CHD now reach the age of 60. Previous studies have indicated an elevated r...
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MDPI AG
2024-02-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/60/2/266 |
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| author | Eglė Ereminienė Mantvydas Stuoka Rasa Ordienė Jurgita Plisienė Skaidrius Miliauskas Eglė Tamulėnaitė |
| author_facet | Eglė Ereminienė Mantvydas Stuoka Rasa Ordienė Jurgita Plisienė Skaidrius Miliauskas Eglė Tamulėnaitė |
| author_sort | Eglė Ereminienė |
| collection | DOAJ |
| description | <i>Background:</i> Advances in the diagnosis and treatment of congenital heart diseases (CHDs) have resulted in improved survival rates for CHD patients. Up to 90% of individuals with mild CHD and 40% with complex CHD now reach the age of 60. Previous studies have indicated an elevated risk of atherosclerotic cardiovascular disease (ASCVD) and associated risk factors, morbidity, and mortality in adults with congenital heart disease (ACHD). However, there were no comprehensive guidelines for the prevention and management of acquired cardiovascular diseases (CVDs) in ACHD populations until recently. <i>Case presentation:</i> A 55-year-old man with Eisenmenger syndrome and comorbidities (arterial hypertension, heart failure, dyslipidemia, hyperuricemia, and a history of pulmonary embolism (PE)) presented with progressive breathlessness. The electrocardiogram (ECG) revealed signs of right ventricle (RV) hypertrophy and overload, while echocardiography showed reduced RV function, RV overload, and severe pulmonary hypertension (PH) signs, and preserved left ventricle (LV) function. After ruling out a new PE episode, acute coronary syndrome (ACS) was diagnosed, and percutaneous intervention was performed within 24–48 h of admission. <i>Conclusions:</i> This case highlights the importance of increased awareness of acquired heart diseases in patients with pulmonary hypertension due to CHD. |
| first_indexed | 2024-03-07T22:21:46Z |
| format | Article |
| id | doaj.art-6aec035b58834b2ab02beef3c7d6631e |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-07T22:21:46Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-6aec035b58834b2ab02beef3c7d6631e2024-02-23T15:26:36ZengMDPI AGMedicina1010-660X1648-91442024-02-0160226610.3390/medicina60020266Acquired Cardiovascular Diseases in Patients with Pulmonary Hypertension Due to Congenital Heart Disease: A Case ReportEglė Ereminienė0Mantvydas Stuoka1Rasa Ordienė2Jurgita Plisienė3Skaidrius Miliauskas4Eglė Tamulėnaitė5Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, LithuaniaDepartment of Cardiology, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, LithuaniaDepartment of Cardiology, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, LithuaniaDepartment of Cardiology, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, LithuaniaDepartment of Pulmonology, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, LithuaniaDepartment of Cardiology, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania<i>Background:</i> Advances in the diagnosis and treatment of congenital heart diseases (CHDs) have resulted in improved survival rates for CHD patients. Up to 90% of individuals with mild CHD and 40% with complex CHD now reach the age of 60. Previous studies have indicated an elevated risk of atherosclerotic cardiovascular disease (ASCVD) and associated risk factors, morbidity, and mortality in adults with congenital heart disease (ACHD). However, there were no comprehensive guidelines for the prevention and management of acquired cardiovascular diseases (CVDs) in ACHD populations until recently. <i>Case presentation:</i> A 55-year-old man with Eisenmenger syndrome and comorbidities (arterial hypertension, heart failure, dyslipidemia, hyperuricemia, and a history of pulmonary embolism (PE)) presented with progressive breathlessness. The electrocardiogram (ECG) revealed signs of right ventricle (RV) hypertrophy and overload, while echocardiography showed reduced RV function, RV overload, and severe pulmonary hypertension (PH) signs, and preserved left ventricle (LV) function. After ruling out a new PE episode, acute coronary syndrome (ACS) was diagnosed, and percutaneous intervention was performed within 24–48 h of admission. <i>Conclusions:</i> This case highlights the importance of increased awareness of acquired heart diseases in patients with pulmonary hypertension due to CHD.https://www.mdpi.com/1648-9144/60/2/266adult congenital heart diseasespulmonary hypertensionacquired heart diseasesprevention and management |
| spellingShingle | Eglė Ereminienė Mantvydas Stuoka Rasa Ordienė Jurgita Plisienė Skaidrius Miliauskas Eglė Tamulėnaitė Acquired Cardiovascular Diseases in Patients with Pulmonary Hypertension Due to Congenital Heart Disease: A Case Report Medicina adult congenital heart diseases pulmonary hypertension acquired heart diseases prevention and management |
| title | Acquired Cardiovascular Diseases in Patients with Pulmonary Hypertension Due to Congenital Heart Disease: A Case Report |
| title_full | Acquired Cardiovascular Diseases in Patients with Pulmonary Hypertension Due to Congenital Heart Disease: A Case Report |
| title_fullStr | Acquired Cardiovascular Diseases in Patients with Pulmonary Hypertension Due to Congenital Heart Disease: A Case Report |
| title_full_unstemmed | Acquired Cardiovascular Diseases in Patients with Pulmonary Hypertension Due to Congenital Heart Disease: A Case Report |
| title_short | Acquired Cardiovascular Diseases in Patients with Pulmonary Hypertension Due to Congenital Heart Disease: A Case Report |
| title_sort | acquired cardiovascular diseases in patients with pulmonary hypertension due to congenital heart disease a case report |
| topic | adult congenital heart diseases pulmonary hypertension acquired heart diseases prevention and management |
| url | https://www.mdpi.com/1648-9144/60/2/266 |
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