Preventing cardiovascular complications in adults with congenital heart disease: predictors and outcomes of the levels of follow-up care - Takeaways - MDSpire

Preventing cardiovascular complications in adults with congenital heart disease: predictors and outcomes of the levels of follow-up care

  • By

  • Fouke Ombelet

  • Ruben Willems

  • Steffen Fieuws

  • Eva Goossens

  • Katya De Groote

  • Werner Budts

  • Stéphane Moniotte

  • Michèle de Hosson

  • Liesbet Van Bulck

  • Julie De Backer

  • Lieven Annemans

  • Ariane Marelli

  • Philip Moons

  • BELCODAC consortium

  • Lieven Annemans

  • Werner Budts

  • Julie De Backer

  • Katya De Groote

  • Michèle de Hosson

  • Daniel De Wolf

  • Marc Gewillig

  • Eva Goossens

  • Chris Leyman

  • Stéphane Moniotte

  • Philip Moons

  • Fouke Ombelet

  • Agnes Pasquet

  • Thierry Sluysmans

  • Liesbet Van Bulck

  • Alexander Van De Bruaene

  • Ruben Willems

  • December 16, 2025

  • 0 min

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  • 1

    Only 19% of patient-years for adults with congenital heart disease were in specialized care, with 53% receiving non-cardiac follow-up.

  • 2

    Among patients with complex defects, only 52% received specialized follow-up, indicating gaps in care.

  • 3

    Regular cardiac follow-up, especially in specialized centers, significantly reduces risks of heart failure and myocardial ischemia.

  • 4

    Predictors for higher levels of follow-up included male sex, genetic syndrome, and absence of prior interventions.

  • 5

    Both specialized and non-specialized ACHD follow-up were associated with better clinical outcomes, emphasizing the need for consistent monitoring.

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