AHA/ACC vs ESC Guidelines for Management of Adults With Congenital Heart Disease: JACC Guideline Comparison

Gabriele Egidy Assenza; Eric V Krieger; Helmut Baumgartner; Blanche Cupido; Konstantinos Dimopoulos; Clauden Louis; Adam M Lubert; Karen K Stout; Anne Marie Valente; Katja Zeppenfeld; Alexander R Opotowsky

doi:10.1016/j.jacc.2021.09.010

AHA/ACC vs ESC Guidelines for Management of Adults With Congenital Heart Disease: JACC Guideline Comparison

J Am Coll Cardiol. 2021 Nov 9;78(19):1904-1918. doi: 10.1016/j.jacc.2021.09.010.

Affiliations

¹ Pediatric Cardiology and Adult Congenital Heart Disease Program, Department of Cardio-Thoracic and Vascular Medicine IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
² Seattle Adult Congenital Heart Service, Division of Cardiology, Department of Medicine, University of Washington and Seattle Children's Hospital, Seattle, Washington, USA.
³ Department of Cardiology III, Division of Adult Congenital and Valvular Heart Disease, University Hospital Muenster, Cardiology, Muenster, Germany.
⁴ Cert Cardio (SA): University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
⁵ Royal Brompton Hospital and National Heart and Lung Institute, Imperial College London, London, United Kingdom.
⁶ Division of Cardiothoracic Surgery, University of Rochester, Rochester, New York, USA.
⁷ Cincinnati Children's Hospital Heart Institute, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
⁸ Boston Adult Congenital Heart Disease Program, Boston Children's Hospital and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
⁹ Willem Einthoven Center for Cardiac Arrhythmia Research and Management, Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands.
¹⁰ Cincinnati Children's Hospital Heart Institute, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. Electronic address: Sasha.Opotowsky@cchmc.org.

PMID: 34736567
DOI: 10.1016/j.jacc.2021.09.010

Abstract

The American Heart Association and American College of Cardiology published practice guidelines for the management of adult congenital heart disease in 2018 and the European Society of Cardiology published analogous guidelines in 2020. Although there are broad areas of consensus between the 2 documents, there are important differences that impact patient management. This review discusses key areas of agreement and disagreement between the 2 guidelines, with discussion of possible reasons for disagreement and potential implications.

Keywords: adult congenital heart disease; cardiac surgery; comparison; practice guidelines.

Publication types

Review

MeSH terms

Adult
American Heart Association
Heart Defects, Congenital / therapy*
Humans
Patient Care Management* / methods
Patient Care Management* / standards
Practice Guidelines as Topic
United States