CONGENITAL HEART DISEASE 2002 Cardiovascular Conference Report Recommendation Tables, Page 128 PHYSIOLOGY/ DIAGNOSIS CERTIFICATION RE-CERTIFICATION FUNCTIONAL Patent Ductus Arteriosus Small = favorable. Yes, if small shunt. Annual (PDA) Moderate to large = No if: unfavorable. Symptoms of dyspnea or palpitations; Pulmonary hypertension; Right to left shunt; Progressive LV enlargement or decreased systolic function. Yes if: Annual At least 3 months after Should have evaluation surgery or 1 month after by cardiologist device closure; knowledgeable in adult None of above congenital heart disease. disqualifying criteria; Cleared by cardiologist knowledgeable in adult congenital heart disease. Coarctation of the Aorta Mild = favorable. Yes if: Annual Mild and unoperated; Evaluation by cardiologist BP controlled; and No knowledgeable in adult associated congenital heart disease disqualifying disease. recommended. Moderate or severe = No unfavorable prognosis. Coarctation of the Aorta Unfavorable prognosis Yes, if Annual after intervention with persistent risk of perfect repair (see text p. Evaluation by cardiologist cardiovascular events. 115 and 116). knowledgeable in adult congenital heart disease required.
CONGENITAL HEART DISEASE 2002 Cardiovascular Conference Report Recommendation Tables, Page 128 DIAGNOSIS PHYSIOLOGY/ FUNCTIONAL CERTIFICATION RE-CERTIFICATION Patent Ductus Arteriosus (PDA) Small = favorable. Moderate to large = unfavorable. Yes, if small shunt. No if: Symptoms of dyspnea or palpitations; Pulmonary hypertension; Right to left shunt; Progressive LV enlargement or decreased systolic function. Yes if: At least 3 months after surgery or 1 month after device closure; None of above disqualifying criteria; Cleared by cardiologist knowledgeable in adult congenital heart disease. Annual Annual Should have evaluation by cardiologist knowledgeable in adult congenital heart disease. Coarctation of the Aorta Mild = favorable. Moderate or severe = unfavorable prognosis. Yes if: Mild and unoperated; BP controlled; and No associated disqualifying disease. No Annual Evaluation by cardiologist knowledgeable in adult congenital heart disease recommended. Coarctation of the Aorta after intervention Unfavorable prognosis with persistent risk of cardiovascular events. Yes, if perfect repair (see text p. 115 and 116). Annual Evaluation by cardiologist knowledgeable in adult congenital heart disease required.
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