CONGENITAL HEART DISEASE (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 130 PHYSIOLOGY/ DIAGNOSIS CERTIFICATION RE-CERTIFICATION FUNCTIONAL Yes if: Annual Ebstein anomaly Mild = favorable. Mild; Evaluation by cardiologist Asymtomatic; knowledgeable in adult No intracardiac lesions; congenital heart disease. No shunt; No symptomatic arrhythmia or accessory conduction; Only mild cardiac enlargement; Only mild RV dysfunction. Moderate and severe No if: variants = unfavorable. (see text, p. 117) Yes if: Annual At least 3 months post- Echocardiogram and surgical intervention; evaluation by cardiologist knowledgeable in adult None of above congenital heart disease disqualifying features. required. Tetralogy of Fallot Unfavorable in the No, if uncorrected. unrepaired state. Repaired = variable Yes if: Annual prognosis. Excellent result obtained Evaluation by cardiologist from surgery; knowledgeable in adult Asymptomatic; congenital heart disease required, including EKG, No significant pulmonary 24 hour Holter Monitor, or tricuspid valve exercise testing, Doppler regurgitation; Echocardiogram. No pulmonary stenosis; No history of arrhythmias; No residual shunt.
CONGENITAL HEART DISEASE (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 130 DIAGNOSIS PHYSIOLOGY/ FUNCTIONAL CERTIFICATION RE-CERTIFICATION Ebstein anomaly Mild = favorable. Moderate and severe variants = unfavorable. Yes if: Mild; Asymtomatic; No intracardiac lesions; No shunt; No symptomatic arrhythmia or accessory conduction; Only mild cardiac enlargement; Only mild RV dysfunction. No if: (see text, p. 117) Yes if: At least 3 months post- surgical intervention; None of above disqualifying features. Annual Evaluation by cardiologist knowledgeable in adult congenital heart disease. Annual Echocardiogram and evaluation by cardiologist knowledgeable in adult congenital heart disease required. Tetralogy of Fallot Unfavorable in the unrepaired state. Repaired = variable prognosis. No, if uncorrected. Yes if: Excellent result obtained from surgery; Asymptomatic; No significant pulmonary or tricuspid valve regurgitation; No pulmonary stenosis; No history of arrhythmias; No residual shunt. Annual Evaluation by cardiologist knowledgeable in adult congenital heart disease required, including EKG, 24 hour Holter Monitor, exercise testing, Doppler Echocardiogram.
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