Pulmonary valve stenosis cardiac catheterization: Difference between revisions

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Guidelines state that in adolescent or young adult patients with pulmonic stenosis, [[cardiac catheterization]] is recommended to evaluate the valvular gradient if the Doppler peak jet velocity is greater than 3m persecond, and if balloon dilation can be performed when indicated. Cardiac catheterization is not recommended for the initial evaluation of pulmonic stenosis in the adolescent or the young adult.
Guidelines state that in adolescent or young adult patients with pulmonic stenosis, [[cardiac catheterization]] is recommended to evaluate the valvular gradient if the Doppler peak jet velocity is greater than 3m persecond, and if balloon dilation can be performed when indicated. Cardiac catheterization is not recommended for the initial evaluation of pulmonic stenosis in the adolescent or the young adult.


==2008 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease - Evaluation of Pulmonic Stenosis in Adolescents and Young Adults (DO NOT EDIT)<ref name="pmid18820172">{{cite journal |author=Bonow RO, Carabello BA, Chatterjee K, ''et al.'' |title=2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=Circulation |volume=118 |issue=15 |pages=e523–661 |year=2008 |month=October |pmid=18820172 |doi=10.1161/CIRCULATIONAHA.108.190748 |url=}}</ref>==
==2008 and Incorporated 2006 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease (DO NOT EDIT) <ref name="pmid18820172">{{cite journal |author=Bonow RO, Carabello BA, Chatterjee K, ''et al.'' |title=2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=Circulation |volume=118 |issue=15 |pages=e523–661 |year=2008 |month=October |pmid=18820172 |doi=10.1161/CIRCULATIONAHA.108.190748 |url=}}</ref>==
 
===Evaluation in Adolescents (DO NOT EDIT) <ref name="pmid18820172">{{cite journal |author=Bonow RO, Carabello BA, Chatterjee K, ''et al.'' |title=2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=Circulation |volume=118 |issue=15 |pages=e523–661 |year=2008 |month=October |pmid=18820172 |doi=10.1161/CIRCULATIONAHA.108.190748 |url=}}</ref>===


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| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
|-
|-
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' [[Cardiac catheterization]] is recommended in the adolescent or young adult with [[pulmonic stenosis]] for evaluation of the valvular                                          gradient if the Doppler peak jet velocity is greater than 3 m per second (estimated peak gradient greater than 36 mm Hg) and                                          balloon dilation can be performed if indicated. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level C]])<nowiki>"</nowiki>
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' [[Cardiac catheterization]] is recommended in the adolescent or young adult with [[pulmonic stenosis]] for evaluation of the valvular                                          gradient if the Doppler peak jet velocity is greater than 3 m per second (estimated peak gradient greater than 36 mm Hg) and                                          balloon dilation can be performed if indicated. ([[ACC AHA guidelines classification scheme#Level of Evidence|''Level of Evidence: C'']])<nowiki>"</nowiki>
|}
|}


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|-
|-
| bgcolor="LightCoral"|<nowiki>"</nowiki>'''1.''' Diagnostic [[cardiac catheterization]] is not recommended for the initial diagnostic evaluation of [[pulmonic stenosis]] in adolescent                                    and young adult patients. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level C]])<nowiki>"</nowiki>
| bgcolor="LightCoral"|<nowiki>"</nowiki>'''1.''' Diagnostic [[cardiac catheterization]] is not recommended for the initial diagnostic evaluation of [[pulmonic stenosis]] in adolescent                                    and young adult patients. ([[ACC AHA guidelines classification scheme#Level of Evidence|''Level of Evidence: C'']])<nowiki>"</nowiki>
|}
|}


==2008 ACC / AHA Guidelines for the Management of Adults with Congenital Heart Disease - Recommendations for Evaluation of the Unoperated Patient (DO NOT EDIT)<ref name="pmid19038677">{{cite journal |author=Warnes CA, Williams RG, Bashore TM, ''et al.'' |title=ACC/AHA 2008 guidelines for the management of adults with congenit
==2008 ACC / AHA Guidelines for the Management of Adults with Congenital Heart Disease (DO NOT EDIT)<ref name="pmid19038677">{{cite journal |author=Warnes CA, Williams RG, Bashore TM, ''et al.'' |title=ACC/AHA 2008 guidelines for the management of adults with congenit
al heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=J. Am. Coll. Cardiol. |volume=52 |issue=23 |pages=e143–263 |year=2008 |month=December |pmid=19038677 |doi=10.1016/j.jacc.2008.10.001 |url=}}</ref>==
al heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=J. Am. Coll. Cardiol. |volume=52 |issue=23 |pages=e143–263 |year=2008 |month=December |pmid=19038677 |doi=10.1016/j.jacc.2008.10.001 |url=}}</ref>==
===Evaluation of the Unoperated Patient (DO NOT EDIT)<ref name="pmid19038677">{{cite journal |author=Warnes CA, Williams RG, Bashore TM, ''et al.'' |title=ACC/AHA 2008 guidelines for the management of adults with congenit
al heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=J. Am. Coll. Cardiol. |volume=52 |issue=23 |pages=e143–263 |year=2008 |month=December |pmid=19038677 |doi=10.1016/j.jacc.2008.10.001 |url=}}</ref>


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Revision as of 17:10, 8 November 2012

Pulmonary valve stenosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Guidelines state that in adolescent or young adult patients with pulmonic stenosis, cardiac catheterization is recommended to evaluate the valvular gradient if the Doppler peak jet velocity is greater than 3m persecond, and if balloon dilation can be performed when indicated. Cardiac catheterization is not recommended for the initial evaluation of pulmonic stenosis in the adolescent or the young adult.

2008 and Incorporated 2006 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease (DO NOT EDIT) [1]

Evaluation in Adolescents (DO NOT EDIT) [1]

Class I
"1. Cardiac catheterization is recommended in the adolescent or young adult with pulmonic stenosis for evaluation of the valvular gradient if the Doppler peak jet velocity is greater than 3 m per second (estimated peak gradient greater than 36 mm Hg) and balloon dilation can be performed if indicated. (Level of Evidence: C)"
Class III
"1. Diagnostic cardiac catheterization is not recommended for the initial diagnostic evaluation of pulmonic stenosis in adolescent and young adult patients. (Level of Evidence: C)"

2008 ACC / AHA Guidelines for the Management of Adults with Congenital Heart Disease (DO NOT EDIT)[2]

===Evaluation of the Unoperated Patient (DO NOT EDIT)[2]

Class III
"1. Cardiac catheterization is unnecessary for diagnosis of valvular PS and should be used only when percutaneous catheter intervention is contemplated.(Level of Evidence: C) "

Sources

  • 2008 ACC/AHA Guidelines incorporated into the 2006 guidelines for the management of patients with valvular heart disease [1]
  • 2008 ACC / AHA Guidelines for the Management of Adults with Congenital Heart Disease [2]

References

  1. ↑ 1.0 1.1 1.2 Bonow RO, Carabello BA, Chatterjee K; et al. (2008). "2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". Circulation. 118 (15): e523–661. doi:10.1161/CIRCULATIONAHA.108.190748. PMID 18820172. Unknown parameter |month= ignored (help)
  2. ↑ 2.0 2.1 2.2 Warnes CA, Williams RG, Bashore TM; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenit al heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J. Am. Coll. Cardiol. 52 (23): e143–263. doi:10.1016/j.jacc.2008.10.001. PMID 19038677. Unknown parameter |month= ignored (help); line feed character in |title= at position 67 (help)

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