ACC/AHA recommendations for evaluation of patients with unoperated patent ductus arteriosus

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

Overview

The ACC/AHA has given recommendations for evaluation of unoperated patient with patent ductus arteriosus

2008 ACC/AHA Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)[1]

Recommendations for evaluation of the unoperated patient (DO NOT EDIT)[1]

Class I
"1. Definitive diagnosis of patent ductus arteriosus (PDA) should be based on visualization by imaging techniques and demonstrations of the shunting across the defect (with or without evidence of clinically significant left ventricular [LV] volume overload). (Level of Evidence: C)"
Class III (Harm)
"1. Diagnostic cardiac catheterization is not indicated for uncomplicated PDA with adequate noninvasive imaging. (Level of Evidence: B)"
"2. Maximal exercise testing is not recommended in PDA with significant pulmonary arterial hypertension (PAH). (Level of Evidence: B)"

For ACC/AHA Level of evidence and classes click:ACC AHA Guidelines Classification Scheme

References

  1. 1.0 1.1 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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