Year : 2019  |  Volume : 12  |  Issue : 3  |  Page : 254--286

Indian guidelines for indications and timing of intervention for common congenital heart diseases: Revised and updated consensus statement of the Working group on management of congenital heart diseases


Anita Saxena1, Jay Relan2, Ravi Agarwal3, Neeraj Awasthy4, Sushil Azad5, Manisha Chakrabarty6, Kulbhushan S Dagar4, Velayoudam Devagourou8, Baiju S Dharan7, Saurabh K Gupta8, Krishna S Iyer5, M Jayranganath8, Raja Joshi9, BR J Kannan10, Ashish Katewa11, Vikas Kohli6, Shyam S Kothari13, KM Krishnamoorthy7, Snehal Kulkarni12, R Manoj Kumar13, R Krishna Kumar14, Sunita Maheshwari15, Krishna Manohar16, Ashutosh Marwah17, Smita Mishra17, Smruti R Mohanty12, K Samba Murthy18, K Nageswara Rao19, PV Suresh20, S Radhakrishnan5, Palleti Rajashekar22, S Ramakrishnan22, Nitin Rao21, Suresh G Rao12, HM Chinnaswamy Reddy15, Rajesh Sharma17, Krishnanaik Shivaprakash22, Raghavan Subramanyan23, R Suresh Kumar24, Sachin Talwar26, Munesh Tomar25, Sudeep Verma26, R Vijaykumar27 
1 Convener, All India Institute of Medical Sciences, New Delhi, India
2 Writing Committee, All India Institute of Medical Sciences, New Delhi, India
3 Madras Medical Mission, Chennai, India
4 Max Super Speciality Hospital, New Delhi, India
5 Fortis Escorts Heart Institute, New Delhi, India
6 Apollo Hospitals, New Delhi, India
7 Sree Chitra Tirunal Institute for Medical sciences and Technology, Trivandrum, Kerala, India
8 Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
9 Sir Ganga Ram Hospital, New Delhi, India
10 Vadamalayan Hospitals, Madurai, Tamil Nadu, India
11 Sri Sathya Sai Sanjeevani Hospital, Raipur, Chhattisgarh, India
12 Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
13 Postgraduate Institute of Medical Education and Research, Chandigarh, India
14 Amrita Institute of Medical Sciences, Kochi, Kerala, India
15 Narayana Institute of Cardiac Sciences, Bangalore, Karnataka, India
16 Sri Sathya Sai Sanjeevani International Centre for Child Heart Care and Research, Palwal, Haryana, India
17 Jaypee Hospital, Noida, Uttar Pradesh, India
18 Innova Children's Heart Hospital, Hyderabad, Telangana, India
19 Care Hospital, Hyderabad, Telangana, India
20 Narayana Hrudayalaya, Bangalore, Karnataka, India
21 Star Hospital, Hyderabad, Telangana, India
22 H.N. Reliance Hospital, Mumbai, Maharashtra, India
23 Frontier Lifeline Hospital, Chennai, India
24 Believers International Heart Centre, Thiruvalla, Kerala, India
25 Nutema Hospital, Meerut, Uttar Pradesh, India
26 Krishna Institute of Medical Sciences, Secunderabad, Telangana, India
27 GKNM Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Prof. Anita Saxena
Department of Cardiology, All India Institute of Medical Sciences, New Delhi - 110 029
India

A number of guidelines are available for the management of congenital heart diseases (CHD) from infancy to adult life. However, these guidelines are for patients living in high-income countries. Separate guidelines, applicable to Indian children, are required when recommending an intervention for CHD, as often these patients present late in the course of the disease and may have coexisting morbidities and malnutrition. Guidelines emerged following expert deliberations at the National Consensus Meeting on Management of Congenital Heart Diseases in India, held on August 10 and 11, 2018, at the All India Institute of Medical Sciences. The meeting was supported by Children's HeartLink, a nongovernmental organization based in Minnesota, USA. The aim of the study was to frame evidence-based guidelines for (i) indications and optimal timing of intervention in common CHD; (ii) follow-up protocols for patients who have undergone cardiac surgery/catheter interventions for CHD; and (iii) indications for use of pacemakers in children. Evidence-based recommendations are provided for indications and timing of intervention in common CHD, including left-to-right shunts (atrial septal defect, ventricular septal defect, atrioventricular septal defect, patent ductus arteriosus, and others), obstructive lesions (pulmonary stenosis, aortic stenosis, and coarctation of aorta), and cyanotic CHD (tetralogy of Fallot, transposition of great arteries, univentricular hearts, total anomalous pulmonary venous connection, Ebstein's anomaly, and others). In addition, protocols for follow-up of postsurgical patients are also described, disease wise. Guidelines are also given on indications for implantation of permanent pacemakers in children.


How to cite this article:
Saxena A, Relan J, Agarwal R, Awasthy N, Azad S, Chakrabarty M, Dagar KS, Devagourou V, Dharan BS, Gupta SK, Iyer KS, Jayranganath M, Joshi R, J Kannan B R, Katewa A, Kohli V, Kothari SS, Krishnamoorthy K M, Kulkarni S, Kumar R M, Kumar R K, Maheshwari S, Manohar K, Marwah A, Mishra S, Mohanty SR, Murthy K S, Rao K N, Suresh P V, Radhakrishnan S, Rajashekar P, Ramakrishnan S, Rao N, Rao SG, Chinnaswamy Reddy H M, Sharma R, Shivaprakash K, Subramanyan R, Kumar R S, Talwar S, Tomar M, Verma S, Vijaykumar R. Indian guidelines for indications and timing of intervention for common congenital heart diseases: Revised and updated consensus statement of the Working group on management of congenital heart diseases.Ann Pediatr Card 2019;12:254-286


How to cite this URL:
Saxena A, Relan J, Agarwal R, Awasthy N, Azad S, Chakrabarty M, Dagar KS, Devagourou V, Dharan BS, Gupta SK, Iyer KS, Jayranganath M, Joshi R, J Kannan B R, Katewa A, Kohli V, Kothari SS, Krishnamoorthy K M, Kulkarni S, Kumar R M, Kumar R K, Maheshwari S, Manohar K, Marwah A, Mishra S, Mohanty SR, Murthy K S, Rao K N, Suresh P V, Radhakrishnan S, Rajashekar P, Ramakrishnan S, Rao N, Rao SG, Chinnaswamy Reddy H M, Sharma R, Shivaprakash K, Subramanyan R, Kumar R S, Talwar S, Tomar M, Verma S, Vijaykumar R. Indian guidelines for indications and timing of intervention for common congenital heart diseases: Revised and updated consensus statement of the Working group on management of congenital heart diseases. Ann Pediatr Card [serial online] 2019 [cited 2022 May 20 ];12:254-286
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