Indian Heart Journal (May 2019)
Guidelines for the management of common congenital heart diseases in India: A consensus statement on indications and timing of intervention
- Anita Saxena,
- Jay Relan,
- Ravi Agarwal,
- Neeraj Awasthy,
- Sushil Azad,
- Manisha Chakrabarty,
- Kulbhushan S. Dagar,
- Velayoudam Devagourou,
- Baiju S. Dharan,
- Saurabh K. Gupta,
- Krishna S. Iyer,
- M. Jayranganath,
- Raja Joshi,
- B.R.J. Kannan,
- Ashish Katewa,
- Vikas Kohli,
- Shyam S. Kothari,
- K.M. Krishnamoorthy,
- Snehal Kulkarni,
- Rohit Manoj Kumar,
- Raman Krishna Kumar,
- Sunita Maheshwari,
- Krishna Manohar,
- Ashutosh Marwah,
- Smita Mishra,
- Smruti R. Mohanty,
- Kona Samba Murthy,
- Nageswara Rao Koneti,
- P.V. Suresh,
- S. Radhakrishnan,
- Palleti Rajashekar,
- Sivasubramanian Ramakrishnan,
- Nitin Rao,
- Suresh G. Rao,
- Chinnaswamy H.M. Reddy,
- Rajesh Sharma,
- Krishnanaik Shivaprakasha,
- Raghavan Subramanyan,
- R. Suresh Kumar,
- Sachin Talwar,
- Munesh Tomar,
- Sudeep Verma,
- Vijayakumar Raju
Affiliations
- Anita Saxena
- Convener, All India Institute of Medical Sciences, New Delhi, India; Corresponding author. Department of Cardiology, All India Institute of Medical Sciences, New Delhi, 110029, India. Fax: 011 26588663.
- Jay Relan
- Writing Committee, All India Institute of Medical Sciences, New Delhi, India
- Ravi Agarwal
- Madras Medical Mission, Chennai, India
- Neeraj Awasthy
- Max Super Speciality Hospital, New Delhi, India
- Sushil Azad
- Fortis Escorts Heart Institute, New Delhi, India
- Manisha Chakrabarty
- Apollo Hospitals, New Delhi, India
- Kulbhushan S. Dagar
- Max Super Speciality Hospital, New Delhi, India
- Velayoudam Devagourou
- All India Institute of Medical Sciences, New Delhi, India
- Baiju S. Dharan
- Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, Kerala, India
- Saurabh K. Gupta
- All India Institute of Medical Sciences, New Delhi, India
- Krishna S. Iyer
- Fortis Escorts Heart Institute, New Delhi, India
- M. Jayranganath
- Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
- Raja Joshi
- Sir Ganga Ram Hospital, New Delhi, India
- B.R.J. Kannan
- Vadamalayan Hospitals, Madurai, Tamil Nadu, India
- Ashish Katewa
- Sri Sathya Sai Sanjeevani Hospital, Raipur, Chhattisgarh, India
- Vikas Kohli
- Apollo Hospitals, New Delhi, India
- Shyam S. Kothari
- All India Institute of Medical Sciences, New Delhi, India
- K.M. Krishnamoorthy
- Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, Kerala, India
- Snehal Kulkarni
- Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
- Rohit Manoj Kumar
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
- Raman Krishna Kumar
- Amrita Institute of Medical Sciences, Kochi, Kerala, India
- Sunita Maheshwari
- Narayana Institute of Cardiac Sciences, Bangalore, Karnataka, India
- Krishna Manohar
- Sri Sathya Sai Sanjeevani International Centre for Child Heart Care and Research, Palwal, Haryana, India
- Ashutosh Marwah
- Jaypee Hospital, Noida, Uttar Pradesh, India
- Smita Mishra
- Jaypee Hospital, Noida, Uttar Pradesh, India
- Smruti R. Mohanty
- Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
- Kona Samba Murthy
- Innova Children's Heart Hospital, Hyderabad, Telangana, India
- Nageswara Rao Koneti
- Care Hospital, Hyderabad, Telangana, India
- P.V. Suresh
- Narayana Hrudayalaya, Bangalore, Karnataka, India
- S. Radhakrishnan
- Fortis Escorts Heart Institute, New Delhi, India
- Palleti Rajashekar
- All India Institute of Medical Sciences, New Delhi, India
- Sivasubramanian Ramakrishnan
- All India Institute of Medical Sciences, New Delhi, India
- Nitin Rao
- Star Hospital, Hyderabad, Telangana, India
- Suresh G. Rao
- Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
- Chinnaswamy H.M. Reddy
- Narayana Institute of Cardiac Sciences, Bangalore, Karnataka, India
- Rajesh Sharma
- Jaypee Hospital, Noida, Uttar Pradesh, India
- Krishnanaik Shivaprakasha
- H.N. Reliance Hospital, Mumbai, Maharashtra, India
- Raghavan Subramanyan
- Frontier Lifeline Hospital, Chennai, India
- R. Suresh Kumar
- Believers International Heart Centre, Thiruvalla, Kerala, India
- Sachin Talwar
- All India Institute of Medical Sciences, New Delhi, India
- Munesh Tomar
- Nutema Hospital, Meerut, Uttar Pradesh, India
- Sudeep Verma
- Krishna Institute of Medical Sciences, Secunderabad, Telangana, India
- Vijayakumar Raju
- GKNM Hospital, Coimbatore, Tamil Nadu, India
- Journal volume & issue
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Vol. 71,
no. 3
pp. 207 – 223
Abstract
Introduction: A number of guidelines are available for management of congenital heart diseases 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 congenital heart diseases, as often these patients present late in the course of the disease and may have co-existing morbidities and malnutrition. Process: Guidelines emerged following expert deliberations at the National Consensus Meeting on Management of Congenital Heart Diseases in India, held on the 10th and 11th of August, 2018 at the All India Institute of Medical Sciences. Objectives: The aim of the study was to frame evidence-based guidelines for (i) indications and optimal timing of intervention in common congenital heart diseases and (ii) follow-up protocols for patients who have undergone cardiac surgery/catheter interventions for congenital heart diseases. Recommendations: Evidence-based recommendations are provided for indications and timing of intervention in common congenital heart diseases, including left-to-right shunts, obstructive lesions, and cyanotic congenital heart diseases. In addition, protocols for follow-up of postsurgical patients are also described. Keywords: Congenital heart disease, Intervention, Surgery
