The current state and future of care of patients with congenital heart defects

Czech version

Authors: Miloš Táborský ¹; Jana Popelová ²; Anna Nečasová ³; Jan Janoušek ⁴; Štěpán Černý ²; Petr Němec ⁵; Jan Pirk ⁶; Milan Šamánek ⁴
Authors‘ workplace: I. interní klinika kardiologická LF UP a FN Olomouc ¹; Kardiochirurgické oddělení, Komplexní KV centrum Nemocnice Na Homolce (NNH), Praha ²; I. interní-kardiologická klinika LF MU a FN Brno ³; Dětské kardiocentrum FN Motol (FNM), Praha ⁴; Centrum kardiovaskulární a transplantační chirurgie (CKCHT), Brno ⁵; Klinika kardiochirugie, IKEM, Praha ⁶
Published in: Vnitř Lék 2015; 61(5): 466-469
Category: Reviews

Overview

Care of patients with congenital heart diseases in Czech Republic does not have only important history, falling to the prewar period, but especially systematic and long-term work with excellent results in pediatric patients. With improvements in the care of these patients also improves their survival with the need for continuous care in adulthood including reoperation, catheter ablations incisional tachycardias and other specialized procedures in difficult heart morphology. The article is a reflection and an appeal to all responsible professionals, organizers and payers of health care, how to proceed and provide specialized training, continuity of care for these patients, including proposed organizational changes and outlines the need for further development in this important medical field.

Keywords:
centers of specialized care – congenital heart diseases – education

Sources

1. Šamánek M. Moje vzpomínky na začátky Dětského kardiocentra v Praze. Grada: Praha 2015. ISBN 978–80–247–5004–0.

2. Samanek M, Voriskova M. Congenital heart disease among 815,569 children born between 1980 and 1990 and their 15-year survival: a prospective Bohemia survival study. Pediatr Cardiol 1999; 20(6): 411–417.

3. Šamánek M, Voříšková M. Infants with critical heart disease in a territory with centralized care. Int J Cardiol 1987; 16(1): 75–91.

4. Baumgartner H, Bonhoeffer P, De Groot NM et al. Task Force on the Management of Grown-up Congenital Heart Disease of the European Society of Cardiology (ESC). ESC Guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J 2010; 31(23): 2915–2957.

5. Khairy P, Ionescu-Ittu R, Mackie AS et al. Changing Mortality in Congenital Heart Disease. J Am Coll Cardiol. 2010; 56(14): 1149–1157.

6. Taylor J. Congenital heart disease is no longer a paediatric specialty. Eur Heart J 2014; 35(11): 673–674.