AHA/ACC vs ESC Guidelines for Management of Adults With Congenital Heart Disease: JACC Guideline Comparison

J Am Coll Cardiol. 2021 Nov 9;78(19):1904-1918. doi: 10.1016/j.jacc.2021.09.010.


The American Heart Association and American College of Cardiology published practice guidelines for the management of adult congenital heart disease in 2018 and the European Society of Cardiology published analogous guidelines in 2020. Although there are broad areas of consensus between the 2 documents, there are important differences that impact patient management. This review discusses key areas of agreement and disagreement between the 2 guidelines, with discussion of possible reasons for disagreement and potential implications.

Keywords: adult congenital heart disease; cardiac surgery; comparison; practice guidelines.

Publication types

  • Review

MeSH terms

  • Adult
  • American Heart Association
  • Heart Defects, Congenital / therapy*
  • Humans
  • Patient Care Management* / methods
  • Patient Care Management* / standards
  • Practice Guidelines as Topic
  • United States