Levo-transposition of the great arteries lab tests: Difference between revisions

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{{L-transposition of the great arteries}}
{{L-transposition of the great arteries}}


{{Transposition of the great vessels}}
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
 
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh@perfuse.org]; {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@perfuse.org]


==Overview==
==Overview==
==Laboratory Findings==
ACC/AHA guidelines recommend certain tests to evaluate and follow up in patients with levo-transposition of the great arteries


==The(ACC/AHA) recommendations for evaluation and follow-up of patients with Congenitally corrected transposition of the great arteries (CCTGA) <ref name="pmid19038677">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. | journal=J Am Coll Cardiol | year= 2008 | volume= 52 | issue= 23 | pages= e1-121 | pmid=19038677 | doi=10.1016/j.jacc.2008.10.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19038677  }} </ref>(DONOT EDIT)==
===(ACC/AHA) recommendations for evaluation and follow-up of patients with congenitally corrected transposition of the great arteries (CCTGA) <ref name="pmid19038677">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. | journal=J Am Coll Cardiol | year= 2008 | volume= 52 | issue= 23 | pages= e1-121 | pmid=19038677 | doi=10.1016/j.jacc.2008.10.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19038677  }} </ref>(DONOT EDIT)===


{{cquote|
{|class="wikitable"
|-
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
|-
|bgcolor="LightGreen" | '''1.''' All patients with CCTGA should have a regular follow-up with a cardiologist who has expertise in adult congenital heart disease (ACHD).  ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''
|-
|bgcolor="LightGreen" |'''2.''' Echocardiography-Doppler study and/or magnetic resonance imaging (MRI) should be performed yearly or at least every other year by staff trained in imaging complex congenital heart disease (CHD). ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''
|-
|bgcolor="LightGreen" |'''3.''' The following diagnostic evaluations are recommended for patients with CCTGA:
|-
|bgcolor="LightGreen" |'''a.''' Electrocardiogram (ECG).  ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]])''
|-
|bgcolor="LightGreen" |'''b.''' Chest X ray ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]])''
|-
|bgcolor="LightGreen" |'''c.''' Echocardiography- Doppler  ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]])''
|-
|bgcolor="LightGreen" |'''d.''' MRI  ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]])''
|-
|bgcolor="LightGreen" |'''e.''' Exercise testing ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]])''
|}


'''Class I'''
==References==
{{reflist|2}}


1. All patients with CCTGA should have a regular follow-up with a cardiologist who has expertise in adult congenital heart disease (ACHD). (Level of Evidence: C)
[[Category:Disease]]
 
[[Category:Congenital heart disease]]
2. Echocardiography-Doppler study and/or magnetic resonance imaging (MRI) should be performed yearly or at least every other year by staff trained in imaging complex congenital heart disease (CHD). (Level of Evidence: C)
[[Category:Cardiology]]
3. The following diagnostic evaluations are recommended for patients with CCTGA:
{{WH}}
::1. Electrocardiogram (ECG). (Level of Evidence: C)
{{WS}}
::2. Chest x-ray. (Level of Evidence: C)
::3. Echocardiography-Doppler study. (Level of Evidence: C)
::4. MRI. (Level of Evidence: C)
::5. Exercise testing. (Level of Evidence: C)
 
'''Interventional Therapy'''
 
'''Recommendations for Catheter Interventions'''
 
'''Class IIa'''
 
1. For patients with unrepaired CCTGA, cardiac catheterization can be effective to assess the following:
::1. Hemodynamic status in the setting of arrhythmia. (Level of Evidence: C)
::2. Unexplained systemic ventricle (SV) dysfunction, to define the degree of systemic AV valve regurgitation, degree of intracardiac shunting, and coronary artery anatomy. (Level of Evidence: C)
::3. Unexplained volume retention or cyanosis, especially when noninvasive assessment of pulmonary outflow obstruction is limited. (Level of Evidence: C)
}}
 
==References==
<div class="references-small"><references/></div>

Latest revision as of 15:31, 2 November 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]

Overview

Laboratory Findings

ACC/AHA guidelines recommend certain tests to evaluate and follow up in patients with levo-transposition of the great arteries

(ACC/AHA) recommendations for evaluation and follow-up of patients with congenitally corrected transposition of the great arteries (CCTGA) [1](DONOT EDIT)

Class I
1. All patients with CCTGA should have a regular follow-up with a cardiologist who has expertise in adult congenital heart disease (ACHD). (Level of Evidence: C)
2. Echocardiography-Doppler study and/or magnetic resonance imaging (MRI) should be performed yearly or at least every other year by staff trained in imaging complex congenital heart disease (CHD). (Level of Evidence: C)
3. The following diagnostic evaluations are recommended for patients with CCTGA:
a. Electrocardiogram (ECG). (Level of Evidence:C)
b. Chest X ray (Level of Evidence:C)
c. Echocardiography- Doppler (Level of Evidence:C)
d. MRI (Level of Evidence:C)
e. Exercise testing (Level of Evidence:C)

References

  1. ↑ Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.

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