ACC/AHA recommendations for evaluation of patients with unoperated patent ductus arteriosus: Difference between revisions
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{{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto: | {{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com], {{CZ}}; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | ||
==Overview== | ==Overview== | ||
The ACC/AHA has given recommendations for evaluation of | The ACC/AHA has given recommendations for evaluation of unoperated patient with patent ductus arteriosus | ||
==ACC/AHA | ==2008 ACC/AHA Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)<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> == | ||
=== Recommendations for evaluation of the unoperated patient (DO NOT EDIT)<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> === | |||
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| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | |||
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Definitive diagnosis of patent ductus arteriosus (PDA) should be based on visualization by [[imaging]] techniques and demonstrations of the [[shunt]]ing across the defect (with or without evidence of clinically significant [[left ventricular]] [LV] volume overload). ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |||
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Class | {|class="wikitable" | ||
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|colspan="1" style="text-align:center; background:LightCoral"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]] (Harm) | |||
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|bgcolor="LightCoral"|<nowiki>"</nowiki>'''1.''' [[Diagnostic]] [[cardiac catheterization]] is not indicated for uncomplicated PDA with adequate noninvasive imaging. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki> | |||
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|bgcolor="LightCoral"|<nowiki>"</nowiki>'''2.''' Maximal [[exercise test]]ing is not recommended in PDA with significant [[pulmonary arterial hypertension]] (PAH). ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki> | |||
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'''For ACC/AHA Level of evidence and classes click''':[[ACC AHA Guidelines Classification Scheme]] | '''For ACC/AHA Level of evidence and classes click''':[[ACC AHA Guidelines Classification Scheme]] | ||
==References== | ==References== | ||
{{ | {{reflist|2}} | ||
==External links== | ==External links== | ||
* [http:// | * [http://mcb.berkeley.edu/courses/mcb135e/fetal.html Fetal Circulation at berkeley.edu] | ||
* [http://goldminer.arrs.org/search.php?query=Patent%20ductus%20arteriosus Goldminer: Patent ductus arteriosus] | |||
* [http:// | {{WH}} | ||
{{WS}} | |||
{{ | [[CME Category::Cardiology]] | ||
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[[Category:Disease]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Congenital heart disease]] | [[Category:Congenital heart disease]] | ||
[[Category:Pediatrics]] | |||
Latest revision as of 19:04, 14 March 2016
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Differentiating Patent Ductus Arteriosus from other Diseases |
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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
- ↑ 1.0 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.