Cardiology
Adult Congenital Heart Disease — ED Presentation
Approach to an ACHD patient in ED — critical considerations for Eisenmenger, Fontan, single-ventricle, transposition variants.
Source: ESC 2020 ACHD; ACC/AHA 2018 ACHD
Step 1 of ~7
info
Initial Approach — Engage ACHD Centre Early
Always involve regional ACHD centre early — physiology often counter-intuitive. Establish: prior repair (palliative, complete, or staged), residual lesions, cyanosis, baseline saturations, arrhythmia history, current medications. Echo expert review essential. Bloods: FBC (chronic erythrocytosis if cyanotic — avoid routine venesection), U&E, BNP, troponin, INR if anticoagulated.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only. Always apply local guidelines and clinical judgement.