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. Abridged Secondary Publication

Abstract
ustification: 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 whenrecommending an intervention for congenital heart diseases, as often these patients present late in the course of the disease and mayhave co-existing morbidities and malnutrition. Process: Guidelines emerged following expert deliberations at the National ConsensusMeeting on Management of Congenital Heart Diseases in India, held on 10th and 11th of August 2018 at the All India Institute of MedicalSciences, New Delhi. The meeting was supported by Children’s HeartLink, a non-governmental organization based in Minnesota, USA.Objectives: To frame evidence based guidelines for (i) indications and optimal timing of intervention in common congenital heartdiseases; (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 congenitalheart diseases, including left-to-right shunts (atrial septal defect, ventricular septal defect, atrioventricular septal defect, patent ductusarteriosus and others), obstructive lesions (pulmonary stenosis, aortic stenosis and coarctation of aorta) and cyanotic congenital heartdiseases (tetralogy of Fallot, transposition of great arteries, univentricular hearts, total anomalous pulmonary venous connection, Ebsteinanomaly and others). In addition, protocols for follow-up of post surgical patients are also described, disease wise.
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Saxena Anita, Jay Relan, Agarwal Ravi, Awasthy Neeraj, Azad Sushil, Chakrabarty Manisha, Dagar Kulbhushan S, Devagourou Velayoudam, Dharan Baiju S, Gupta Saurabh K, Krishna S Iyer, M Jayranganath, Joshi Raja, BRJ Kannan, Katewa Ashish, Kohli Vikas, Rao Nageswara Koneti, Kothari Shyam S, Krishnamoorthy KM, Kulkarni Snehal, Kumar Rohit Manoj, Kumar Raman Krishna, Maheshwari Sunita, Manohar Krishna, Marwah Ashutosh, Mishra Smita, Mohanty Smruti R, Murthy Kona Samba, PV Suresh, S Radhakrishnan, Palleti Rajashekar, Sivasubramanian Ramakrishnan, Rao Nitin, Rao Suresh G, Reddy Chinnaswamy HM, Sharma Rajesh, Shivaprakasha Krishnanaik, Raghavan Subramanyan, Kumar R Suresh, Talwar Sachin, Tomar Munesh, Verma Sudeep, Vijayakumar Raju. 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. Abridged Secondary Publication. Indian Pediatrics. 2020 Feb; 57(2): 143-157