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Overweight and obesity are common in adults with congenital heart disease (ACHD) and relate to adverse outcomes beyond coronary artery disease including increased need for cardiovascular (CV) intervention, arrhythmia, and death. The prevalence of other CV risk factors, specifically dyslipidemia (DLD) in the ACHD population is unknown.
We sought to assess fasting lipid profiles in a cohort of ACHD patients. Lipid profiles were performed serially on all clinic patients who were fasting and in a non-pregnant state at the time of routine visit. DLD was classified into 5 subtypes as previously described (Table 1). Cross-sectional analysis was performed to evaluate for associations between DLD class and demographic variables.
Two-hundred and twelve patients (41% Female) with a mean age of 34 (19-74) years were identified. Some form of DLD was present in 145(68%) patients. Significant association was found between DLD classification and BMI, as well as diabetes (Table 1). Patients with higher BMI were more likely to have Combined Hyperlipidemia, Low HDL-C, or MetS forms of DLD (OR 1.21 (95%CI 1.104, 1.326) OR 1.103 (95%CI 1.038, 1.173) and OR 1.137 (1.065, 1.214), respectively).
Dyslipidemia is common in ACHD patients. These data suggest lipid monitoring as well as appropriate treatment among this population is paramount. Preventative counseling including avoidance of exercise restriction when appropriate should be initiated early.
Poster Sessions, Expo North
Monday, March 11, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Congenital Cardiology Solutions: Outcomes and Resource Utilization in the Adults
Abstract Category: 12. Congenital Cardiology Solutions: Adult
Presentation Number: 1290-116
- 2013 American College of Cardiology Foundation