ESC Guidelines for the management of grown-up congenital heart disease (new version 2010)

Baumgartner, Helmut; Bonhoeffer, Philipp; Groo, Natasja M.S. de; Haan, Fokko de; Deanfield, John Erik; Galiè, Nazzareno; Gohlke-Baerwolf, Christa; Kaemmerer, Harald; Kilner, Philip J.; Meijboom, Folkert J.; Mulder, Barbara J.M.; Oechslin, Erwin; Oliver, Josè M.; Sérraf, Alain; Szatmári, András; Thaulow, Erik; Vouhé, Pascal; Walma, Edmond

doi:10.1016/j.repce.2012.05.004

Cited by 587 publications

(1,046 citation statements)

References 129 publications

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“…Wiąże się ono ze wzrostem częstości występowania powikłań u matki i płodu [911,912]. Lepsze leczenie wrodzonych wad serca prawdopodobnie spowoduje w przyszłości zwiększenie częstości występowania AF podczas ciąży [913]. Ciężarne z AF powinny być traktowane jako pacjentki obciążone dużym ryzykiem i leczone przez ściśle współpracujących ze sobą kardiologów, położników i neonatologów.…”

Section: Ciążaunclassified

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Kirchhof

Benussi

Kotecha³

et al. 2016

Kardiol Pol

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2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Kirchhof

Benussi

Kotecha³

et al. 2016

Kardiol Pol

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“…The interval for repeat screening of a normally sized aorta is not stipulated in most publications [4,5,23]. The ESC Grown Up Congenital Heart Disease Guidelines suggest this be done on a five-yearly basis [33]. More recent ESC and AHA multimodality imaging guidelines suggest a three-yearly interval, but this statement is unreferenced in the document [34].…”

Section: Surveillance For Aortic Dilatation a Usual Practice Is Clinmentioning

confidence: 99%

Update on the Diagnosis and Management of Inherited Aortopathies, Including Marfan Syndrome

Zentner

West

Adès

2017

Heart, Lung and Circulation

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Key Points1. A number of inherited conditions can predispose the aorta, and less commonly other blood vessels, to dilatation and/ or rupture.2. Broadly speaking, these conditions are recognised as syndromic when accompanied by a number of systemic features or non-syndromic when the aortic dilatation appears to exist in isolation.3. The commonest syndromic aortopathy is Marfan syndrome and the commonest nonsyndromic aortopathy is that which accompanies congenital bicuspid aortic valve.4. Mutations in a number of genes have been identified, particularly in syndromic aortopathy.5. Although genotype-phenotype relationships exist, the phenotypes of the syndromic aortopathies may have significant overlap .6. When a syndromic aortopathy is suspected, review by a clinical geneticist is instrumental in characterising the clinical signs and the family history.7. Confirmation of a diagnosis (either clinically or by gene testing) allows identification of individuals at increased risk of aortic sequelae who will benefit from active medical management.8. Medical management is usually undertaken by a cardiologist with referral to other specialists (eg cardiothoracic surgeons) as appropriate.9. At risk family members should be offered predictive testing if a mutation is identified, and should otherwise be screened in keeping with the presumptive clinical diagnosis and assessment of risk.10. Pregnancy and the post-partum period confer a higher risk for aortic complications: a. Women with a personal or family history of aortopathy need appropriate preconception screening and counseling.b. Intervention may be required pre-conception and they should be managed closely throughout pregnancy, ideally in a high-risk obstetric clinic. A c c e p t e d M a n u s c r i p t 3 pregnancy, beta blockers can be used in pregnancy) and should include involvement of a cardiologist in the management and decision making for delivery.11. A clinical diagnosis of an inherited aortopathy can be made in the absence of a positive genetic test if the systemic features are consistent with a specific syndromic aortopathy. A familial history of aortic dissection in the absence of both a positive gene test and systemic examination findings may be more difficult to manage without a working clinical diagnosis. However, an inherited risk of dissection should nonetheless be considered in this setting, particularly if the process has affected young individuals and/or in the absence of traditional risk factors.

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“…Prinzipiell ist hervorzuheben, dass die Betreuung eine enge Zusammenarbeit zwischen Kinder-und Erwachsenenkardiologen/innen zur Vorraussetzung hat und in einem Zentrum angesiedelt sein soll, das alle medizinischen Abteilungen zur Versorgung von Erwachsenen anbieten kann [3]. Ein solches überregionales Zentrum zeichnet sich weiters durch eine eigene Abteilung für Kardiologie, Kinderkardiologie (beide mit erfahrenen interventionellen Kardiologen/innen, nach Möglichkeit inklusive Elektrophysiologie) und Herzchirurgie und Kardioanästhesie und Intensivmedizinern/innen mit Erfahrung in der operativen bzw.…”

Section: Kriterien Eines üBerregionalen Zentrums Für Angeborene Herzfunclassified

“…Kardiologen/innen zu verbreiten. Dieses Update der erstmals im Jahre 2001 publizierten Österreichischen Richtlinien lehnt sich an international anerkannte Vorschläge an insbesondere an die rezenten deutschen Empfehlungen [3][4][5][6][7] mit Adaptationen an die Situation in Österreich wo es notwendig war. Dabei erscheint eine Differenzierung in regionale und überre-gionale Versorgung der EMAH Patienten als sinnvoll.…”

unclassified

Empfehlungen zur Struktur der Betreuung von Erwachsenen mit angeborenen Herzfehlern (EMAH Patienten) in Österreich – Update 2011

Gabriel

Baumgartner

Gamillscheg

et al. 2013

Wien Klin Wochenschr

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ESC Guidelines for the management of grown-up congenital heart disease (new version 2010)

Cited by 587 publications

References 129 publications

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Update on the Diagnosis and Management of Inherited Aortopathies, Including Marfan Syndrome

Empfehlungen zur Struktur der Betreuung von Erwachsenen mit angeborenen Herzfehlern (EMAH Patienten) in Österreich – Update 2011

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