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Adult congenital heart disease: principles and management guidelines: Part II
Author(s) -
Wilson N. J.,
Neutze J. M.
Publication year - 1993
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1993.tb04730.x
Subject(s) - medicine , heart disease , pregnancy , insurability , pediatrics , disease , intensive care medicine , endocarditis , genetic counseling , public health , surgery , pathology , health policy , self insurance , genetics , biology
Part 1 of this article (Aust NZ J Med 1993; 23: 498–503) discussed the concept of a new medical group of young adults with repaired congenital heart defects. Medical and life issues for these individuals include career prospects, insurability, pregnancy and contraception, genetic counselling, appropriate exercise, risks of non‐cardiac surgery, and the need for infective endocarditis prophylaxis. Most adults with congenital heart disease lead remarkably normal lives but need intermittent medical follow‐up, some as inpatients. Medical management guidelines are discussed in Part II of this review by highlighting important individual lesions.