Tricuspid atresia medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Keri Shafer, M.D. [2] Priyamvada Singh, MBBS [[3]]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [[4]]

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Medical Therapy

ACC/AHA 2008 Guidelines - Recommendations for Medical Therapy - Tricuspid atresia (DO NOT EDIT)

Class I

"1.Warfarin should be given for patients who have a documented atrial shunt, atrial thrombus, atrial arrhythmias, or a thromboembolic event.(Level of Evidence: C) "

Class IIa

"1.It is reasonable to treat systemic ventricle (SV) dysfunction with angiotensin-converting enzyme (ACE) inhibitors and diuretics.(Level of Evidence: C) "

ACC/AHA 2008 Guidelines - Recommendations for Management Strategies for the Patient with Prior Fontan Repair - Tricuspid atresia (DO NOT EDIT)

Class I

"1.Management of patients with prior Fontan repair should be coordinated with a regional ACHD center. Local cardiologists, internists, and family care physicians should develop ongoing relationships with such a center with continuous availability of specialists.(Level of Evidence: C) "

"a.At least yearly follow-up is recommended for patients after Fontan repair.(Level of Evidence: C) "

"b.Arrhythmia management is frequently an issue, and consultation with an electrophysiologist is recommended as a vital part of care.(Level of Evidence: C) "

"c.New-onset atrial tachyarrhythmia should prompt a comprehensive noninvasive imaging evaluation to identify associated atrial/baffle thrombus, anatomic abnormalities of the Fontan pathway, or ventricular dysfunction.(Level of Evidence: C) "