Abstract
Introduction. For various reasons, surgery for CHD is performed in adulthood in some patients. The natural hystory of CHD in adult can lead to complications such as arrhythmias, circulatory failure, which may persist after surgery and have a negative impact on the patient's life. The aim of this study is to investigate the quality of life in long-term follow up after surgery for congenital heart disease performed into adulthood, and the main causes of its decline.
Material and methods. Quality of life was studied in 102 patients in long-term follow up after correction of congenital heart disease, performed in adulthood. Age at the time of the study was on average 44.2± ±12.1 years, age at surgery — 34.4±11.5 years.
Results. Quality of life was normal in 37 (36.3%) cases, moderate reduced — in 26 (25.5%) and was expressed in a reduced 39 (38.2%) cases (median -5 points). The main reasons for the decline of quality of life were the presence of complaints of palpitations and / or pain in the heart, the need to be treated (taking medication, visit a doctors) and limitations in everyday life. Better quality of life presented in the absence of arrhythmias (median -5 points) compared with patients with arrhythmias (median -9 points, p = 0.02). When comparing the quality of life in the 2 groups of patients — with acyanotic heart defects and cyanotic heart defects quality of life was lower in patients with the second group (median -8 points compared to -4 points in the first group, p = 0.004).
Conclusion. The surgical correction of congenital heart disease in adult patients is accompanied by good results in a significant proportion of cases, including the improvement of their quality of life. Long-term postoperative monitoring of these patients is necessary.
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