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Current Cardiology Reports

Addressing Diastolic Dysfunction in the Congenital Heart Population

  • 01-12-2025
  • Tetralogy of Fallot
  • Congenital Heart Disease (RA Krasuski and G Fleming, Section Editors)
Published in:
Authors
Ryan M Edwards
Allison P Levin
Richard A Krasuski
Published in
Current Cardiology Reports | Issue 1/2025

Abstract

Purpose of Review

This review summarizes recent advances in the evaluation of diastolic dysfunction and management considerations in the unique congenital heart disease population.

Recent Findings

Diastolic dysfunction is prevalent in a number of congenital lesions. Non-invasive assessment methods have varying applicability depending on the specific lesion. Lesions with a systemic left ventricle can likely be accurately assessed with traditional echocardiographic techniques while higher complexity lesions may be better suited to emerging techniques including 4D-flow cardiac MRI and analysis of late gadolinium enhancement. Diagnosis and management are tailored to the individual patient and include surveillance, medication, lifestyle modification and occasionally device therapy.

Summary

Diastolic dysfunction is increasingly recognized across the spectrum of the expanding, aging congenital heart population. Ongoing study of the unique mechanisms in individual lesions is needed to determine how best to assess for and intervene upon this pathology.
Title
Addressing Diastolic Dysfunction in the Congenital Heart Population
Authors
Ryan M Edwards
Allison P Levin
Richard A Krasuski
Publication date
01-12-2025
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 1/2025
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-025-02295-8
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New MRI contrast agents are reshaping diagnostic imaging, promising lower gadolinium exposure amid evolving practice guidelines. How can you optimise contrast selection, dosing, and patient care in this rapidly advancing field?

This content is intended for healthcare professionals outside of the UK.

Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
Learn more Link opens in a new window
Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME