Dr. John Chovan
congenital heart disease, adult, comorbid conditions, type 2 diabetes mellitus
Family Practice Nursing | Nursing
Congenital heart disease (CHD) includes a wide array of disorders and varying degrees of severity and is the most common birth defect, comprising of 1% of all birth defects (CDC, 2018). Heart defects can be acyanotic (non-critical) or cyanotic (critical) (Deen & Krieger, 2016). Birth defects are determined to be cyanotic or acyanotic based on pulse oximetry and anatomy through echocardiogram technology (Mayo clinic, 2018). Due to the advances of interventions in this field, children with heart defects are living to adulthood and therefore are acquiring diseases of aging, such as atherosclerosis and type 2 diabetes, in addition to the co-morbid conditions CHD survivors are classically at risk for, such as liver failure and kidney disease (Deen & Krieger, 2016). It has been found that the likelihood of acquiring type 2 diabetes is increased in individuals with a cyanotic heart defect (Deen & Krieger, 2016). The combination of these pathological conditions of hypoxia in cyanotic heart defect and insulin resistance in type II DM can increase morbidity and decrease quality of life in this population.
Sutter, Olivia, "Congential Heart Disease (CHD) Adult Survivors and Type 2 Diabetes Mellitus" (2018). Master of Science in Nursing (MSN) Student Scholarship. 278.