CONGENITAL HEART DISEASE (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 129 PHYSIOLOGY/ DIAGNOSIS CERTIFICATION RE-CERTIFICATION FUNCTIONAL Pulmonary Valve Mild and moderate = Yes, if Annual Stenosis favorable. mild or moderate. Evaluation by cardiologist knowledgeable in adult (PS) congenital heart disease. Severe PS may be No if unfavorable, associated Symptoms of dyspnea, with arrhythmias and palpitations or syncope; rarely sudden death. Pulmonary valve peak gradient >50 mm Hg with normal output; RV pressuve >50% systemic pressure; >mile RVH; >mild RV dysfunction; >moderate pulmonary valve regurgitation; or main pulmonary artery >5cm. Yes if: Annual 3 months after surgical Recommend evaluation valvotomy or 1 month by cardiologist after balloon knowledgeable in adult valvuloplasty; congenital heart disease. None of above disqualifying criteria; Cleared by cardiologist knowledgeable in adult congenital heart disease. Other causes of right Double chambered right Yes if: Annual ventricular outflow ventricle. Hemodynamic data and Recommend evaluation obstruction in persons Infundibular pulmonary criteria similar to by cardiologist with congenital heart stenosis. individuals with isolated knowledgeable in adult pulmonary valve stenosis disease. Supravalvar pulmonary congenital heart disease. stenosis. who are eligible for certification. Pulmonary artery stenosis.
CONGENITAL HEART DISEASE (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 129 DIAGNOSIS PHYSIOLOGY/ FUNCTIONAL CERTIFICATION RE-CERTIFICATION Pulmonary Valve Stenosis (PS) Mild and moderate = favorable. Severe PS may be unfavorable, associated with arrhythmias and rarely sudden death. Yes, if mild or moderate. No if Symptoms of dyspnea, palpitations or syncope; Pulmonary valve peak gradient >50 mm Hg with normal output; RV pressuve >50% systemic pressure; >mile RVH; >mild RV dysfunction; >moderate pulmonary valve regurgitation; or main pulmonary artery >5cm. Yes if: 3 months after surgical valvotomy or 1 month after balloon valvuloplasty; None of above disqualifying criteria; Cleared by cardiologist knowledgeable in adult congenital heart disease. Annual Evaluation by cardiologist knowledgeable in adult congenital heart disease. Annual Recommend evaluation by cardiologist knowledgeable in adult congenital heart disease. Other causes of right ventricular outflow obstruction in persons with congenital heart disease. Double chambered right ventricle. Infundibular pulmonary stenosis. Supravalvar pulmonary stenosis. Pulmonary artery stenosis. Yes if: Hemodynamic data and criteria similar to individuals with isolated pulmonary valve stenosis who are eligible for certification. Annual Recommend evaluation by cardiologist knowledgeable in adult congenital heart disease.
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