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Review
. 2021 Nov 9;78(19):1904-1918.
doi: 10.1016/j.jacc.2021.09.010.

AHA/ACC vs ESC Guidelines for Management of Adults With Congenital Heart Disease: JACC Guideline Comparison

Gabriele Egidy Assenza  1 , Eric V Krieger  2 , Helmut Baumgartner  3 , Blanche Cupido  4 , Konstantinos Dimopoulos  5 , Clauden Louis  6 , Adam M Lubert  7 , Karen K Stout  2 , Anne Marie Valente  8 , Katja Zeppenfeld  9 , Alexander R Opotowsky  10
Affiliations
Free article
Review

AHA/ACC vs ESC Guidelines for Management of Adults With Congenital Heart Disease: JACC Guideline Comparison

Gabriele Egidy Assenza et al. J Am Coll Cardiol. .
Free article

Abstract

The American Heart Association and American College of Cardiology published practice guidelines for the management of adult congenital heart disease in 2018 and the European Society of Cardiology published analogous guidelines in 2020. Although there are broad areas of consensus between the 2 documents, there are important differences that impact patient management. This review discusses key areas of agreement and disagreement between the 2 guidelines, with discussion of possible reasons for disagreement and potential implications.

Keywords: adult congenital heart disease; cardiac surgery; comparison; practice guidelines.

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Conflict of interest statement

Funding Support and Author Disclosures Dr Baumgartner was chair of the ESC ACHD guidelines. Dr Stout was chair of the AHA/ACC ACHD guidelines. Drs. Krieger and Valente have received honoraria and travel reimbursement from ACC; and have received travel reimbursement from AHA. Prof Dimopoulos has received honoraria, research, and educational funds from, and acted as a consultant for Janssen. Drs. Valente and Zeppenfeld were coauthors of the AHA/ACC and ESC ACHD guidelines, respectively. Dr Opotowsky has acted as a consultant for Janssen; and serves on an Independent Data Monitoring Committee for Actelion/Johnson & Johnson. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

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