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What do we know about cognitive functioning in adult congenital heart disease?

Published online by Cambridge University Press:  13 June 2013

Manavi Tyagi ,
Katie Austin ,
Jan Stygall ,
John Deanfield ,
Shay Cullen  and
Stanton P. Newman
Manavi Tyagi
Affiliation:
Centre for Health Services Research, School of Health Sciences, City University London, London, United Kingdom Division of Medicine, University College London (UCL), London, United Kingdom
Katie Austin
Affiliation:
School of Psychology, University of Surrey, London, United Kingdom
Jan Stygall
Affiliation:
Centre for Health Services Research, School of Health Sciences, City University London, London, United Kingdom
John Deanfield
Affiliation:
GUCH Unit, The Heart Hospital, University College of London Hospitals NHS Foundation Trust, London, United Kingdom
Shay Cullen
Affiliation:
GUCH Unit, The Heart Hospital, University College of London Hospitals NHS Foundation Trust, London, United Kingdom
Stanton P. Newman*
Affiliation:
Centre for Health Services Research, School of Health Sciences, City University London, London, United Kingdom Division of Cardiovascular Sciences, University College London (UCL), London, United Kingdom
*
Correspondence to: Prof. S. P. Newman, Centre for Health Services Research, School of Health Sciences, City University London, Northampton Square, London EC1 V 0HB, United Kingdom. Tel: +44 207 040 5767; Fax: +44 207 040 0875; E-mail: Stanton.Newman.1@city.ac.uk
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Abstract

With the advent of improved medical and surgical care in congenital heart disease, there has been an increase in the number of patients who survive into adulthood, giving rise to a new patient population ‘Adults with congenital heart disease’. In the past, morbidity and mortality were the primary concerns for this group. However, with improvements in outcome attention has shifted to other factors such as psychosocial and cognitive functioning. This paper reviews the literature on the cognitive functioning in adult congenital heart disease patients. A total of five relevant articles were retrieved via electronic searches of six databases, including MEDLINE, EMBASE, CINAHL, AMED, PsychINFO, and PubMed. The results displayed a consensus on the presence of some cognitive difficulties in adult congenital heart disease patients. The aetiology of cognitive dysfunctions appears to be multifactorial. The literature is limited by the very small number of studies looking at adults with congenital heart disease, with the majority focusing on cognitive functioning among children with congenital heart disease. However, the presence of cognitive dysfunctions and the resulting impact on the patient's day to day lives warrant for a more detailed and prospective research to enhance the understanding of its aetiology and impact.

Keywords

Congenital heart diseasecognitive functioningadults
Type
Review Articles
Information
Cardiology in the Young , Volume 24 , Issue 1 , February 2014 , pp. 13 - 19
Copyright
Copyright © Cambridge University Press 2013 

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Footnotes

*

Manavi Tyagi and Katie Austin are both first authors on this review with a shared first co-authorship.

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