Updated Guideline for Treating Adult Congenital Heart Disease Patients Released

by Colleen Fleiss on  August 19, 2018 at 10:15 AM Heart Disease News
RSS Email Print This Page Comment bookmark
Font : A-A+

Updated guideline for the management of adult congenital heart disease (ACHD) patients revealed that although the prevalence of ACHD is increasing, the population of patients with a given congenital abnormality or specific repair may be relatively small, which can make accruing evidence to guide treatment challenging.
Updated Guideline for Treating Adult Congenital Heart Disease Patients Released
Updated Guideline for Treating Adult Congenital Heart Disease Patients Released

CHD encompasses a range of structural cardiac abnormalities present before birth and attributable to abnormal fetal cardiac development.

"Patients with ACHD are a heterogeneous population," said Karen K. Stout, MD, professor of medicine and pediatrics in cardiology at the University of Washington and chair of the writing committee for the guideline.

This full revision of the original guideline, published in 2008, incorporates new data and growing ACHD expertise. Despite the difficulty in studying ACHD populations, there is a growing body of high-quality data in these patients to guide the care of this relatively new population. These data were used to develop the recommendations.

The updated guideline presents a new classification system for ACHD patients that retains the traditional classification based on the structural complexity of the disease while taking into account the patient's functional status and other factors, including the presence of cardiovascular and non-cardiovascular problems. The system is intended to capture the complexity of ACHD in terms of both anatomy and physiology, rather than anatomy alone. This classification system provides the basis for making lesion-specific recommendations for interval clinical follow-up and testing modalities such as electrocardiograms, transthoracic echocardiography, cardiovascular magnetic resonance and exercise testing.

"As new data become available, we expect changes to the relative weights attributed to the existing components of the classification system and perhaps new components, resulting in a system that ever more precisely tracks the overall severity of the patient's disease and need for more or less intensive follow-up and management," Stout said.

Patients with significant ACHD who are cared for in ACHD centers have better outcomes than those cared for in centers without ACHD expertise, and this need for specialized care is noted throughout the guideline. These recommendations are intended to provide guidance to a wide variety of providers caring for patients with ACHD, including general, pediatric and ACHD cardiologists, as well as surgeons, primary care providers and other health care providers.

Source: Eurekalert

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions

Recommended Reading

More News on:

Cardiac Catheterization Heart Attack Air travel: To fly or not to fly Diet Lifestyle and Heart Disease Patent Ductus Arteriosus Congenital Heart Disease Body Mass Index Silent Killer Diseases Heart Healthy Heart 

News A - Z


News Search

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Find a Doctor

Stay Connected

  • Available on the Android Market
  • Available on the App Store

News Category

News Archive