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ACHD Guidelines Slide Set

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ACHD Guidelines Slide Set

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    1. 1 ACHD Guidelines Slide Set

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    5. 5 Top 10 Points to Remember from ACHD Guidelines 1. The care of ACHD patients should be coordinated by regional ACHD centers of excellence, providing education, patient care and follow-up by specialists for affected individuals. 2. Individual and family psychosocial screening and information should be included in the care of ACHD patients. 3. Thorough clinical evaluation should be undertaken before anticipated non-cardiac surgery, including ECG, chest x-ray, TTE, and blood tests. 4. Counseling before pregnancy is important to ensure that patients understand the risks to both mother and baby, including the risks of transmitting coronary heart disease to their offspring. Any non-cardiac surgery in cyanotic patients, however minor, is potentially life-threatening and should be coordinated with regional centers of excellence. 5. Pacemaker implantation can be beneficial in ACHD patients, but access may be challenging and implantation should be performed at centers where staff is familiar with unusual anatomy of congenital heart defects. ACHD = adults with congenital heart disease; TTE = transthoracic echocardiogramACHD = adults with congenital heart disease; TTE = transthoracic echocardiogram

    6. 6 Top 10 Points to Remember on ACHD Guidelines 6. Closure of a secundum atrial septal defect, either percutaneously or surgically, is indicated for right atrial and right ventricular enlargement with or without symptoms. 7. Primary imaging and hemodynamic assessment of aortic stenosis and aortic valve disease are recommended by echocardiography-Doppler to evaluate aortic stenosis or aortic regurgitation, left ventricular size, function and mass, and dimensions and anatomy of the ascending aorta and associated lesions. 8. Lifelong cardiology follow-up is recommended for all patients with aortic valve disease. 9. All patients with tetralogy of Fallot should have regular follow-up with a cardiologist with expertise in ACHD, the frequency of which may be determined by the extent and degree of residual abnormalities. 10. There is a lack of scientific evidence demonstrating proven benefit for IE prophylaxis, although prophylaxis is reasonable in patients with CHD with the highest risk for adverse outcome from infective endocarditis.

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    11. 11 Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD CentersData compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers

    12. 12 Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers

    13. 13 Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers

    14. 14 Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers

    15. 15 Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers Data compiled from Table 2, pg. 217, Personnel and Services Recommended for Regional ACHD Centers

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    19. 19 Access to Care

    20. 20 Access to Care

    21. 21 Access to Care

    22. 22 Access to Care

    23. 23 Access to Care

    24. 24 Access to Care

    25. 25 Access to Care

    26. 26 Access to Care

    27. 27 Access to Care

    28. 28

    29. 29 Psychosocial Issues

    30. 30 Psychosocial Issues

    31. 31 Psychosocial Issues

    32. 32 Psychosocial Issues

    33. 33

    34. 34 Psychosocial Issues

    35. 35

    36. 36 Infective Endocarditis

    37. 37 Infective Endocarditis

    38. 38 Infective Endocarditis

    39. 39 Infective Endocarditis

    40. 40 Infective Endocarditis

    41. 41 Infective Endocarditis

    42. 42 Infective Endocarditis

    43. 43 Infective Endocarditis

    44. 44

    45. 45 Noncardiac Surgery

    46. 46 Noncardiac Surgery

    47. 47 Noncardiac Surgery

    48. 48

    49. 49 Pregnancy and Contraception

    50. 50 Pregnancy and Contraception

    51. 51 Pregnancy and Contraception

    52. 52

    53. 53 Arrhythmia Diagnosis and Management

    54. 54 Arrhythmia Diagnosis and Management

    55. 55 Arrhythmia Diagnosis and Management

    56. 56 Arrhythmia Diagnosis and Management

    57. 57

    58. 58 Hematologic Problems

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    60. 60 General Health Issues for Cyanotic Patients

    61. 61

    62. 62 Atrial Septal Defect Closures

    63. 63 Atrial Septal Defect Closures

    64. 64 Atrial Septal Defect Closures

    65. 65 Atrial Septal Defect Closures

    66. 66

    67. 67 Surgical Ventricular Septal Defect Closure

    68. 68 Surgical Ventricular Septal Defect Closure

    69. 69 Interventional Catheterization for VSD

    70. 70

    71. 71 Aortic Valve Repair/Replacement and Aortic Root Replacement

    72. 72 Aortic Valve Repair/Replacement and Aortic Root Replacement

    73. 73 Aortic Valve Repair/Replacement and Aortic Root Replacement

    74. 74 Aortic Valve Repair/Replacement and Aortic Root Replacement

    75. 75 Aortic Valve Repair/Replacement and Aortic Root Replacement

    76. 76 Aortic Valve Repair/Replacement and Aortic Root Replacement

    77. 77 Aortic Valve Repair/Replacement and Aortic Root Replacement

    78. 78 Aortic Valve Repair/Replacement and Aortic Root Replacement

    79. 79 Surgical Intervention for SubAS

    80. 80 Surgical Intervention for SubAS

    81. 81 Interventional and Surgical Therapy for Supravalvular LVOT

    82. 82 Interventional and Surgical Therapy for Supravalvular LVOT

    83. 83 Interventional and Surgical Treatment of Coarctation of the Aorta in Adults

    84. 84 Interventional and Surgical Treatment of Coarctation of the Aorta in Adults

    85. 85 Intervention in Patients With Valvular Pulmonary Stenosis

    86. 86 Intervention in Patients With Valvular Pulmonary Stenosis

    87. 87 Intervention in Patients With Valvular Pulmonary Stenosis

    88. 88 Intervention in Patients With Valvular Pulmonary Stenosis

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