![ESC Guidelines for Management of Congenital Heart Disease ESC Guidelines for Management of Congenital Heart Disease](https://images.medindia.net/health-images/1200_1000/pregnant-women-with-congenital-heart-disease.jpg)
‘European Society of Cardiology (ESC) provides guidelines for adults with congenital heart disease to give them the best chance of a normal life. Various topics regarding congenital heart disease are addressed in the guidelines.’
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The guidelines are published online in European Heart Journal,and on the ESC website.Read More..
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Congenital heart disease refers to any structural defect of the heart and/or great vessels (those directly connected to the heart) present at birth.
Congenital heart disease affects all aspects of life, including physical and mental health, socializing, and work.
Most patients are unable to exercise at the same level as their peers which, along with the awareness of having a chronic condition, affects mental well being.
"Having a congenital heart disease, with a need for long-term follow-up and treatment, can also have an impact on social life, limit employment options and make it difficult to get insurance," said Professor Helmut Baumgartner, Chairperson of the guidelines Task Force and head of Adult Congenital and Valvular Heart Disease at the University Hospital of Münster, Germany. "Guiding and supporting patients in all of these processes is an inherent part of their care."
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Pregnancy is contraindicated in women with certain conditions such high blood pressure in the arteries of the lungs.
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Concerning sports, recommendations are provided for each condition. Professor De Backer said: "All adults with congenital heart disease should be encouraged to exercise, taking into account the nature of the underlying defect and their own abilities."
The guidelines state when and how to diagnose complications. This includes proactively monitoring for arrhythmias, cardiac imaging and blood tests to detect problems with heart function.
Detailed recommendations are provided on how and when to treat complications. Arrhythmias are an important cause of sickness and death and the guidelines stress the importance of correct and timely referral to a specialized treatment center.
They also list when particular treatments should be considered such as ablation (a procedure to destroy heart tissue and stop faulty electrical signals) and device implantation.
For several defects, there are new recommendations for catheter-based treatment. "Catheter-based treatment should be performed by specialists in adult congenital heart disease working within a multidisciplinary team," said Professor Baumgartner.
Source-Eurekalert