Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, USA.
Division of Cardiology, Seattle Children's Hospital, Seattle, WA, USA.
Curr Cardiol Rep. 2020 Feb 19;22(4):24. doi: 10.1007/s11886-020-1272-z.
Review the recently updated guidelines for the management of patients with adult congenital heart disease (ACHD) with a focus on the changes between these guidelines and the prior guidelines.
The 2018 guidelines for the management of patients with ACHD focused on utilizing the available data and limiting the number recommendations based only on expert opinion. These guidelines implement a new anatomic and physiological classification scheme to guide management of patients, which takes into account both the underlying anatomy as well as residual cardiac disease and symptoms. Given a lack of robust outcomes data for many types of CHD, the new guidelines provide fewer total recommendations than the prior version, emphasizing the data that is available and drawing attention to the need for additional data. The 2018 guidelines provide the field with a comprehensive update in the management of ACHD patients with an emphasis on the available data.
回顾最近更新的成人先天性心脏病（ACHD）患者管理指南，重点关注这些指南与之前指南之间的变化。
2018 年 ACHD 患者管理指南侧重于利用现有数据，并根据专家意见限制建议数量。这些指南实施了一种新的解剖和生理分类方案来指导患者的管理，该方案既考虑了基础解剖结构，也考虑了残余心脏疾病和症状。鉴于许多类型的 CHD 缺乏强有力的结果数据，新指南比之前的版本提供的总建议更少，强调了现有数据，并提请注意需要更多的数据。2018 年指南为 ACHD 患者的管理提供了全面的更新，重点是现有数据。
