[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.92.239.248. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
December 1985

THE ADOLESCENT AND YOUNG ADULT WITH HEART DISEASE

Am J Dis Child. 1985;139(12):1186. doi:10.1001/archpedi.1985.02140140020015

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

Pediatricians and cardiologists are faced with an emerging population of older children and young adults who have congenital or acquired heart disease. Improved diagnostic techniques and pathophysiological understanding allow for better diagnosis and treatment, especially for those with more severe cardiac disorders. A larger group of young people has asymptomatic congenital heart disease that does not require intervention, but stigmatizes them as "different." Inevitable fatality of certain complex conditions in the past is now surgically avoidable. Pharmacologie advances include afterload reduction for severe congestive failure and various drugs (with or without pacemakers) that have improved the outcome for children who otherwise would not have survived. Unique problems for this new population include insurability, vocational choice, acceptable level of physical activity, sexual practices including contraception and childbearing, peer pressures, cardiac-related infections, coping with the possibility of death, and receipt of appropriate health and cardiac care.

First Page Preview View Large
First page PDF preview
First page PDF preview
×