Consensus on timing of intervention for common congenital heart disease.
BACKGROUND
Separate guidelines are needed for determining the optimal timing of intervention in children with congenital heart diseases in India, because of their frequent late presentation, undernutrition and co-existing morbidities.


METHODS
Guidelines emerged following expert deliberations at the National Consensus Meeting on Management of Congenital Heart Diseases in India, held on 26th August 2007 at the All India Institute of Medical Sciences, New Delhi, India, supported by Cardiological Society of India.


OBJECTIVE
To frame evidence based guidelines for (i) appropriate timing of intervention in congenital heart diseases; (ii) assessment of operability in left to right shunt lesions; and (iii) prophylaxis of infective endocarditis in these children.


CONCLUSIONS
Evidence based recommendations are provided for timing of intervention in common congenital heart diseases including left to right shunt lesions (atrial septal defect, ventricular septal defect, patent ductus arteriosus and others); obstructive lesions (coarctation of aorta, aortic stenosis, pulmonary stenosis); and cyanotic defects (tetralogy of Fallot, transposition of great arteries, total anomalous pulmonary venous connection, truncus arteriosus). Guidelines are also given for assessment of operability in left to right shunt lesions and for infective endocarditis prophylaxis.
Dr. Anita Saxena, Department of Cardiology, All India Institute of Medical Sciences, New Delhi 110 029, India. anitasaxena@hotmail.com.
D006348:Cardiac Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data; D002648:Child; D032921:Consensus; D006330:Heart Defects, Congenital / Q000145:classification / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007194:India / Q000453:epidemiology; D015995:Prevalence; D013997:Time Factors