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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Adult congenital heart disease anatomic and physiologic classification

Adult congenital heart disease anatomic and physiologic classification
CHD anatomy*
I: Simple
Native disease
Isolated small ASD
Isolated small VSD
Mild isolated pulmonic stenosis
Repaired conditions
Previously ligated or occluded ductus arteriosus
Repaired secundum ASD or sinus venosus defect without significant residual shunt or chamber enlargement
Repaired VSD without significant residual shunt or chamber enlargement
II: Moderate complexity
Repaired or unrepaired conditions
Aorto-left ventricular fistula
Anomalous pulmonary venous connection, partial or total
Anomalous coronary artery arising from the pulmonary artery
Anomalous aortic origin of a coronary artery from the opposite sinus
AVSD (partial or complete, including primum ASD)
Congenital aortic valve disease
Congenital mitral valve disease
Coarctation of the aorta
Ebstein anomaly (disease spectrum includes mild, moderate, and severe variations)
Infundibular right ventricular outflow obstruction
Ostium primum ASD
Moderate and large unrepaired secundum ASD
Moderate and large persistently patent ductus arteriosus
Pulmonary valve regurgitation (moderate or greater)
Pulmonary valve stenosis (moderate or greater)
Peripheral pulmonary stenosis
Sinus of Valsalva fistula/aneurysm
Sinus venosus defect
Subvalvar aortic stenosis (excluding HCM; HCM not addressed in these guidelines)
Supravalvar aortic stenosis
Straddling atrioventricular valve
Repaired tetralogy of Fallot
VSD with associated abnormality and/or moderate or greater shunt
III: Great complexity (or complex)
Cyanotic congenital heart defect (unrepaired or palliated, all forms)
Double-outlet ventricle
Fontan procedure
Interrupted aortic arch
Mitral atresia
Single ventricle (including double inlet left ventricle, tricuspid atresia, hypoplastic left heart, any other anatomic abnormality with a functionally single ventricle)
CHD anatomy* (continued)
III: Great complexity (or complex) (continued)
Pulmonary atresia (all forms)
TGA (classic or d-TGA; CCTGA or l-TGA)
Truncus arteriosus
Other abnormalities of atrioventricular and ventriculoarterial connection (ie, crisscross heart, isomerism, heterotaxy syndromes, ventricular inversion)
Physiological stage
A
NYHA FC I symptoms
No hemodynamic or anatomic sequelae
No arrhythmias
Normal exercise capacity
Normal renal/hepatic/pulmonary function
B
NYHA FC II symptoms
Mild hemodynamic sequelae (mild aortic enlargement, mild ventricular enlargement, mild ventricular dysfunction)
Mild valvular disease
Trivial or small shunt (not hemodynamically significant)
Arrhythmia not requiring treatment
Abnormal objective cardiac limitation to exercise
C
NYHA FC III symptoms
Significant (moderate or greater) valvular disease; moderate or greater ventricular dysfunction (systemic, pulmonic, or both)
Moderate aortic enlargement
Venous or arterial stenosis
Mild or moderate hypoxemia/cyanosis
Hemodynamically significant shunt
Arrhythmias controlled with treatment
Pulmonary hypertension (less than severe)
End-organ dysfunction responsive to therapy
D
NYHA FC IV symptoms
Severe aortic enlargement
Arrhythmias refractory to treatment
Severe hypoxemia (almost always associated with cyanosis)
Severe pulmonary hypertension
Eisenmenger syndrome
Refractory end-organ dysfunction
This list is not meant to be comprehensive; other conditions may be important in individual patients.
CHD: congenital heart disease; AP: anatomic and physiologic; ASD: atrial septal defect; VSD: ventricular septal defect; AVSD: atrioventricular septal defect; CCTGA: congenitally corrected transposition of the great arteries; CHD: congenital heart disease; d-TGA: dextro-transposition of the great arteries; FC: functional class; HCM: hypertrophic cardiomyopathy; l-TGA: levo-transposition of the great arteries; NYHA: New York Heart Association; TGA: transposition of the great arteries.
Reproduced from: Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2019; 73:e81. Table used with the permission of Elsevier Inc. All rights reserved.
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