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Revista Uruguaya de Cardiología

Print version ISSN 0797-0048On-line version ISSN 1688-0420

Abstract

AGORRODY, Guillermo et al. Pulmonary hypertension in adult congenital heart disease. Rev.Urug.Cardiol. [online]. 2022, vol.37, n.1, e402.  Epub July 01, 2022. ISSN 0797-0048.  https://doi.org/10.29277/cardio.37.1.7.

Introduction:

pulmonary hypertension associated with congenital heart disease in adults involves a wide spectrum of complex clinical situations that are difficult to manage for the clinical cardiologist.

Review:

the main pathophysiological aspects related to the development of pulmonary hypertension in the different groups of congenital heart disease will be reviewed, as well as the criteria to establish the diagnosis. Treatment guided by risk profile and the pharmacological groups available in our setting will be discussed. Finally, special groups such as Eisenmenger syndrome and pregnant women with heart disease and pulmonary hypertension will be discussed.

Conclusion:

it is important to keep in mind, however, that pulmonary hypertension in this scenario could have a poor prognosis (for example in Eisenmenger syndrome), which is why every effort should be made to make an early diagnosis and timely treatment of these patients.

Keywords : Pulmonary hypertension; Congenital heart disease; Pulmonary hemodynamics; Right heart.

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