Key result
Primary-care management of congenital anomalies of the coronary arteries involves specific clinical history, ancillary testing, surgical decision-making, and physical activity recommendations.
This article provides a summary of outpatient primary-care management for patients with congenital anomalies of the coronary arteries to serve as an initial benchmark for care.
Outlines outpatient care for coronary anomalies; limited data leave surgical thresholds and activity guidance open.
Congenital anomalies of the coronary arteries, although uncommon, have the potential to cause serious myocardial damage, ischaemic cardiomyopathy, and sudden cardiac death. This article summarises aspects of care for these patients in the outpatient setting, including clinical history and physical examination findings, ancillary testing, decision-making regarding the need for surgical intervention, and recommendations for physical activity. Although there are limited data regarding some of these recommendations, it is hoped that these can be used as an initial benchmark against which further data will lead to a more evidence-based approach.
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Boris et al. (2015) conducted a review in Congenital anomalies of the coronary arteries. Primary-care management was evaluated. Primary-care management of congenital anomalies of the coronary arteries involves specific clinical history, ancillary testing, surgical decision-making, and physical activity recommendations.
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