Phys Clinical Cases · cardiovascular
Adult Congenital Heart Disease — DCE Clinical Case
DCE long-case and short-case station for Adult Congenital Heart Disease.
On this page & tools
Target exams
Adult Congenital Heart Disease — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Adult Congenital Heart Disease. [1]
Presenting complaint: Subacute or acute symptoms referable to Adult Congenital Heart Disease, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Adult Congenital Heart Disease, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Wolf SEM, Jiang H, Boyd RR, Overman RE Jr, et al. Age-Stratified Presentation and Outcomes Following Repair of Anomalous Left Coronary Artery From the Pulmonary Artery World J Pediatr Congenit Heart Surg, 2026.PMID 42454881
- [2]Habibi H, Brida M, Gatzoulis MA Beyond survival: empowering adults with congenital heart disease through communication and co-designed education J Thorac Dis, 2026.PMID 42444962
- [3]Veldtman H, Nizam MA, Brock S, Kandi S, et al. A bibliometric analysis of medication studies in congenital heart disease Int J Cardiol Congenit Heart Dis, 2026.PMID 42438601
- [4]Batra AS, Hamidy M, McCanta A, Sell L, et al. Practice Variation in Infective Endocarditis Prophylaxis for Pediatric and Congenital Heart Disease Patients with Cardiac Implantable Electronic Devices: An International Survey Pediatr Cardiol, 2026.PMID 42423984
- [5]Das BB Advances and unmet needs in pharmacologic therapy for pediatric heart failure: Insights from the 2025 International Society for Heart and Lung Transplantation Guidelines Ann Pediatr Cardiol, 2026.PMID 42404509
- [6]Kholeif Z, Ellabbad M, Miranda WR, Connolly HM, et al. Clinical benefit of optimization of heart failure therapy after heart failure hospitalization in adults with CHD Int J Cardiol Congenit Heart Dis, 2026.PMID 42376565
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005