Emergency department management of patients with adult congenital heart disease: a consensus paper from the ESC Working Group on Adult Congenital Heart Disease, the European Society for Emergency Medicine (EUSEM), the European Association for Cardio-Thoracic Surgery (EACTS), and the Association for Acute Cardiovascular Care (ACVC)

Massimo Chessa; Margarita Brida; Michael A Gatzoulis; Gerhard-Paul Diller; Jolien W Roos-Hesselink; Konstantinos Dimopoulos; Wilhelm Behringer; Martin Möckel; Alessandro Giamberti; Lorenzo Galletti; Susana Price; Helmut Baumgartner; Pastora Gallego; Oktay Tutarel

doi:10.1093/eurheartj/ehab272

Emergency department management of patients with adult congenital heart disease: a consensus paper from the ESC Working Group on Adult Congenital Heart Disease, the European Society for Emergency Medicine (EUSEM), the European Association for Cardio-Thoracic Surgery (EACTS), and the Association for Acute Cardiovascular Care (ACVC)

Eur Heart J. 2021 Jul 8;42(26):2527-2535. doi: 10.1093/eurheartj/ehab272.

Authors

Massimo Chessa^{1

2

3}, Margarita Brida^{2

3

4}, Michael A Gatzoulis^{2

3

5}, Gerhard-Paul Diller^{2

3

6}, Jolien W Roos-Hesselink^{2

3

7}, Konstantinos Dimopoulos^{2

3

5}, Wilhelm Behringer^{8

9}, Martin Möckel^{9

10}, Alessandro Giamberti^{11

12}, Lorenzo Galletti^{12

13}, Susana Price^{14

15}, Helmut Baumgartner^{2

3

6}, Pastora Gallego^{2

3

16}, Oktay Tutarel^{2

3

17}

Affiliations

¹ ACHD Unit, Pediatric and Adult Congenital Heart Centre, IRCCS Policlinico San Donato, Milan, Italy.
² DZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
³ European Society of Cardiology Working Group on Adult Congenital Heart Disease.
⁴ Division for Adult Congenital Heart Disease, Department of Cardiovascular Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.
⁵ Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton & Harefield NHS Trust, National Heart and Lung Institute, Imperial College, London, UK.
⁶ Department of Cardiology III: Adult Congenital and Valvular Heart Disease, University Hospital Muenster, Muenster, Germany.
⁷ Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands.
⁸ Emergency Department, Center for Emergency Medicine, University Hospital Jena, Friedrich Schiller University, Am Klinikum 1, Jena, Germany.
⁹ European Society for Emergency Medicine.
¹⁰ Division of Emergency Medicine and Department of Cardiology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
¹¹ Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, Milan, Italy.
¹² European Association for Cardio-Thoracic Surgery.
¹³ Department of Cardiac Surgery, Bambino Gesù Hospital, Rome, Italy.
¹⁴ Royal Brompton Hospital, Adult Intensive Care Unit, London, UK.
¹⁵ Association for Acute Cardiovascular Care of the European Society of Cardiology.
¹⁶ Unidad de Cardiopatias Congénitas del Adulto, Hospital Virgen del Rocio, Sevilla, Spain.
¹⁷ Department of Congenital Heart Disease and Paediatric Cardiology, German Heart Centre Munich, TUM School of Medicine, Technical University of Munich, Germany.

PMID: 34021343
DOI: 10.1093/eurheartj/ehab272

Abstract

Adult congenital heart disease (ACHD) patients represent a growing population with increasing use of acute emergency department (ED) care. Providing comprehensive ED care necessitates an understanding of the most common clinical scenarios to improve morbidity and mortality in this population. The aim of this position document is to provide a consensus regarding the management of the most common clinical scenarios of ACHD patients presenting to the ED.

Keywords: Adult; Emergency; Multidisciplinary management; Congenital heart disease.

MeSH terms

Adult
Consensus
Emergency Medicine*
Emergency Service, Hospital
Heart Defects, Congenital* / surgery
Humans
Thoracic Surgery*