ATRIAL SEPTAL DEFECTS 2002 Cardiovascular Conference Report Recommendation Tables, Page 124 PHYSIOLOGY/ DIAGNOSIS CERTIFICATION RE-CERTIFICATION FUNCTIONAL Atrial Septal Defect (ASD): Small ASD = favorable. Yes if: Annual Ostium Secundum Asymptomatic. Evaluation by cardiologist knowledgeable in congenital heart disease including echocardiogram. Moderate to large ASD = No if: unfavorable. Symptoms of dyspnea, palpitations or a paradoxical embolus; Pulmonary hypertension; Right-to-left shunt; or Pulmonary to systemic flow ratio > 1.5 to 1. Annual Yes if: Evaluation by cardiologist At least 3 months after knowledgeable in adult surgery or at least 4 congenital heart disease weeks after device every 2 years. closure; asymptomatic and clearance by cardiologist knowledgeable in adult congenital heart disease.
ATRIAL SEPTAL DEFECTS 2002 Cardiovascular Conference Report Recommendation Tables, Page 124 DIAGNOSIS PHYSIOLOGY/ FUNCTIONAL CERTIFICATION RE-CERTIFICATION Atrial Septal Defect (ASD): Ostium Secundum Small ASD = favorable. Moderate to large ASD = unfavorable. Yes if: Asymptomatic. No if: Symptoms of dyspnea, palpitations or a paradoxical embolus; Pulmonary hypertension; Right-to-left shunt; or Pulmonary to systemic flow ratio > 1.5 to 1. Yes if: At least 3 months after surgery or at least 4 weeks after device closure; asymptomatic and clearance by cardiologist knowledgeable in adult congenital heart disease. Annual Evaluation by cardiologist knowledgeable in congenital heart disease including echocardiogram. Annual Evaluation by cardiologist knowledgeable in adult congenital heart disease every 2 years.
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