2008 ACC/AHA Guidelines for the Management of Adults with Congenital Heart Disease
November 7, 2008—Recognizing the compound effects of a complex and unfamiliar disease with an unprepared patient and health care system, the ACC/AHA adult congenital heart disease (ACHD) guideline writing committee has determined that the most immediate step it can take to support the practicing cardiologist in the care of ACHD patients is to provide a consensus document that outlines the most important diagnostic and management strategies and indicates when referral to a highly specialized center is appropriate. To provide ease of use, the writing committee constructed this document by lesion type and in each section included recommendations on topics common to all lesions (e.g., infective endocarditis prophylaxis, pregnancy, physical activity, and medical therapy).