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2020 ESC Guidelines for the management of Adult Congenital Heart Disease (previously Grown-Up Congenital Heart Disease)

ESC Clinical Practice Guidelines

Since the previous version of the Guidelines on the management of grown-up congenital heart disease (CHD) was published in 2010, new evidence has accumulated for this patient group, particularly on percutaneous interventional techniques and risk stratification with regard to timing of surgery and catheter intervention, as well as medical treatment. This made a revision of the recommendations necessary.


Decision-making in ACHD involves accurate diagnosis, timing of intervention, risk assessment, and selection of the most suitable type of intervention. In addition, specific aspects of medical treatment for conditions such as heart failure, pulmonary hypertension (PH), and anticoagulation are addressed.

Congenital Heart Disease and Pediatric Cardiology
Pediatric Cardiology
Cardiovascular Disease in Special Populations: Pediatric Cardiology
Adult Congenital Heart Disease
CV Surgery - Congenital Heart Disease

Main resources


Full text and related materials

Full text
https://doi.org/10.1093/eurheartj/ehab484

Declarations of interest

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Scientific Presentation at ESC Congress 2020

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ESC TV Interview

The essentials of the Guidelines in less than four minutes.

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Slide set

Educational material.

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ESC Pocket Guidelines App

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Congress News Article

Insights from the Chairs of the Guidelines Task Force.

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