(HealthDay) – The European Society of Cardiology Guidelines for 2020 provide updated recommendations for the care of adult patients with congenital heart disease (ACHD). The guidelines were published online on August 29th in the European Heart Journal, coinciding with the 2020 Congress of the European Society of Cardiology 2020: The Digital Experience, which practically took place from August 29th to September 1st.
Helmut Baumgartner, M.D., of Münster University Medical Center in Germany, and colleagues updated guidelines for patients with ACHD, which increases in numbers as people grow older, including the elderly.
The authors state that meeting the needs of ACHD patients requires special structural and organizational health care requirements. Multimodal imaging is key to properly assessing overall anatomy, ventricular and valvular function and quantifying blood flow, including perfusion distribution. Objective exercise tests are an important tool for determining the timing of interventions and reinterventions. Cardiac catheterization remains crucial for assessing hemodynamics. Heart failure prevention remains the key treatment in ACHD patients by optimizing hemodynamics and heart rhythm. Systematic follow-up care in specialized centers is required to enable timely intervention. All patients should be evaluated for a reversible cause of arrhythmias and for new or remaining hemodynamic abnormalities. Maintaining sinus rhythm is the goal for most ACHD patients.
"Congenital heart disease that requires long-term follow-up and treatment can also impact social life, limit job opportunities and make it difficult to get insurance," Baumgartner said in a statement. "Guiding and supporting patients in all of these processes is an integral part of their care."
Updated guidelines for congenital heart disease in adults
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ESC updates guidelines for congenital heart disease in adults (2020, September 4th)
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