Congenital defects involve the walls of the heart, its valves, arteries and/or veins potentially or actually resulting in hemodynamic effects.
~40 different types
Usually diagnosed prior to adulthood
Historical findings: fatigue, dizziness, near-syncope, headaches, cyanosis, exercise intolerance with dyspnea
Varies with ACHD etiology
Refer to ACHD physician and ACHD regional center for cardiac management (1,2,3,4,5)[C].
Contact ACHD center or physician if patient is admitted for reasons non–cardiac related...
12 to 24 months if moderate to severe (2,5)[C]
ACHD Center with multidisciplinary team including interventional and noninterventional cardiology, EP, cardiac surge...
Q24.9 Congenital malformation of heart, unspecified
Q24.8 Other specified congenital malformations of heart
Q21.3 Tetralogy of Fallot
Q23.1 Congenital insufficiency of aortic valve
Prompt referral and consult to ACHD facility if cardiac admission and/or surgery is warranted.
Monitor for ES and severe PAH.
2D/3D Doppler TTE is the first-line imaging modality in all ...
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