Key result
A comparison of the 2018 AHA/ACC and 2020 ESC guidelines for adult congenital heart disease reveals broad consensus alongside important differences that impact patient management.
Why the study?
Although AHA/ACC and ESC practice guidelines for adult congenital heart disease share broad consensus, important differences impact patient management.
Guideline variations in adult congenital heart disease urge clinical caution; leaves open the need for outcome studies to resolve discrepancies.
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.
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Assenza et al. (2021) conducted a review in Adult congenital heart disease. AHA/ACC 2018 Guidelines vs. ESC 2020 Guidelines was evaluated. A comparison of the 2018 AHA/ACC and 2020 ESC guidelines for adult congenital heart disease reveals broad consensus alongside important differences that impact patient management.