The english version of the website is under development. Wherever text appears in Greek, it means it has not been translated yet.


Hospitalisations for heart failure predict mortality in pulmonary hypertension related to congenital heart disease.

TitleHospitalisations for heart failure predict mortality in pulmonary hypertension related to congenital heart disease.
Publication TypeJournal Article
Year of Publication2019
AuthorsNtiloudi, D., Apostolopoulou S., Vasiliadis K., Frogoudaki A., Tzifa A., Ntellos C., Brili S., Manginas A., Pitsis A., Kolios M., Karvounis H., Tsioufis C., Goudevenos J., Rammos S., & Giannakoulas G.
Corporate AuthorsCHALLENGE investigators
Date Published2019 03
KeywordsAdult, Arrhythmias, Cardiac, Cardiovascular Agents, Female, Follow-Up Studies, Greece, Heart Defects, Congenital, Heart Failure, Hospitalization, Humans, Hypertension, Pulmonary, Male, Middle Aged, Mortality, Prognosis, Registries, Risk Assessment, Stroke

OBJECTIVE: Despite the progress in the management of patients with adult congenital heart disease (ACHD), a significant proportion of patients still develop pulmonary hypertension (PH). We aimed to highlight the rate of the complications in PH-ACHD and the predicting factors of cumulative mortality risk in this population.
METHODS: Data were obtained from the cohort of the national registry of ACHD in Greece from February 2012 until January 2018.
RESULTS: Overall, 65 patients receiving PH-specific therapy were included (mean age 46.1±14.4 years, 64.6% females). Heavily symptomatic (New York Heart Association (NYHA) class III/IV) were 53.8% of patients. The majority received monotherapy, while combination therapy was administered in 41.5% of patients. Cardiac arrhythmia was reported in 30.8%, endocarditis in 1.5%, stroke in 4.6%, pulmonary arterial thrombosis in 6.2%, haemoptysis in 3.1% and hospitalisation due to heart failure (HF) in 23.1%. Over a median follow-up of 3 years (range 1-6), 12 (18.5%) patients died. On univariate Cox regression analysis history of HF hospitalisation emerged as a strong predictor of mortality (HR 8.91, 95% CI 2.64 to 30.02, p<0.001), which remained significant after adjustment for age and for NYHA functional class.
CONCLUSIONS: Long-term complications are common among patients with PH-ACHD. Hospitalisations for HF predict mortality and should be considered in the risk stratification of this population.

Alternate JournalHeart
PubMed ID30269081


Secretariat of the School of Medicine


School of Medicine's presence in social networks
Follow Us or Connect with us.