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Cardiopulmonary Interactions in Adults with Congenital Heart Disease

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Intensive Care of the Adult with Congenital Heart Disease

Part of the book series: Congenital Heart Disease in Adolescents and Adults ((CHDAA))

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Abstract

The population of adults with congenital heart disease (CHD) has increased dramatically over the past few decades, with the number of adults with CHD now surpassing the pediatric population. Adult CHD (ACHD) encompasses a broad range of presentations, with some patients diagnosed for the first time in adulthood. The majority of patients however have undergone a palliative repair during childhood and now are dealing with sequela and/or residual disease years to decades later. All of which may be compounded by acquired cardiovascular disease. In this review, we describe the physiologic underpinnings of the interaction between the respiratory and cardiovascular systems and their clinical impact in ACHD. We will review the physiologic underpinnings of cardiopulmonary interactions and the effects of respiration on cardiovascular function, the impact of respiration on cardiovascular function in adult patients with congenital and acquired heart disease, the effects of respiratory disease on cardiovascular function, and the impact of cardiovascular disease on respiratory function.

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Authors and Affiliations

  1. Sections of Critical Care Medicine and Cardiology, Baylor College of Medicine, Texas Children’s Hospital, Houston, TX, USA

    Ronald A. Bronicki

  2. Cincinnati College of Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Andrew N. Redington

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Correspondence to Ronald A. Bronicki .

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Editors and Affiliations

  1. Children’s Hospital Colorado, University of Colorado Denver, Aurora, CO, USA

    Eduardo da Cruz

  2. Pediatric Intensive Care, Royal Brompton & Harefield NHS Foundation Trust, London, UK

    Duncan Macrae

  3. Adult Congenital Heart Program, Heart Institute, Cincinnati Children Hospital Medical Center, Cincinnati, OH, USA

    Gary Webb

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Bronicki, R.A., Redington, A.N. (2019). Cardiopulmonary Interactions in Adults with Congenital Heart Disease. In: da Cruz, E., Macrae, D., Webb, G. (eds) Intensive Care of the Adult with Congenital Heart Disease. Congenital Heart Disease in Adolescents and Adults. Springer, Cham. https://doi.org/10.1007/978-3-319-94171-4_9

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  • DOI: https://doi.org/10.1007/978-3-319-94171-4_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94170-7

  • Online ISBN: 978-3-319-94171-4

  • eBook Packages: MedicineMedicine (R0)

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