跳至主要内容

    临床医生入口

    Partnering with referring physicians to deliver expert, subspecialty congenital heart care for your patients.

    何时转诊

    Pediatric & Adult CHD

    • Moderate or complex CHD: Tetralogy of Fallot, Fontan circulation, transposition of the great arteries, systemic RV, Ebstein anomaly, truncus arteriosus, univentricular anatomy, coarctation of the aorta
    • Simple CHD (ASD, VSD, bicuspid AV) with any of the following: symptoms, arrhythmia, ventricular dysfunction, cyanosis, aortopathy, or pulmonary hypertension
    • Adults with CHD who have not had ACHD specialist follow-up in ≥2 years
    • Adolescents (ages 12–18) requiring structured transition to adult congenital heart care
    • New or uncertain CHD diagnosis requiring longitudinal planning
    • Pre- or post-operative patients needing shared-care coordination

    Pregnancy & Heart Disease

    • Any CHD with WHO pregnancy risk class II–IV
    • Fontan circulation, systemic RV, prior cyanosis, repaired TOF, aortopathy, or pulmonary hypertension
    • Preconception counseling for women with known or suspected CHD
    • Need for multidisciplinary delivery planning (ACHD + MFM/OB + anesthesia)
    • Postpartum surveillance after high-risk cardiac pregnancy

    Heart Failure in CHD

    • New or progressive ventricular dysfunction on imaging
    • Rising NYHA class, recurrent congestion, or increasing biomarkers
    • Evaluation for ICD, CRT, LVAD, or transplant candidacy in the setting of CHD anatomy

    Pulmonary Hypertension in CHD

    • Suspected or established Eisenmenger physiology
    • CHD with PH where shunt closure, vasodilator strategy, or catheterization interpretation is uncertain
    • Pregnancy counseling in patients with PH or cyanosis

    Aortopathy

    • Aortic root or ascending aortic dilation in bicuspid AV, conotruncal defect, or known genetic aortopathy (Marfan, Loeys-Dietz, vascular EDS)
    • Uncertainty about surveillance interval, surgical threshold, or pregnancy safety

    Second Opinions

    • Major surgical or catheter-based reinterventions
    • Discordant imaging or uncertainty about intervention timing
    • Complex pregnancy risk stratification

    转诊表

    病历仅通过安全渠道发送。

    医生转诊资料包

    转诊资源和病历要求。

    What to Send

    • Echo report + images
    • CMR/CT report + images (CD preferred)
    • Operative reports
    • Cath reports — hemodynamics, PVR
    • ECG · Holter/event monitor
    • Medication list + problem list
    • Last 1–2 clinic notes
    • Pregnancy: OB/MFM plan + gestational age

    Visit Types & Expectations

    Visit TypeWhat the Patient Gets
    New ACHD / Pediatric CHDFull evaluation, care plan, surveillance schedule
    Pregnancy / Cardio-ObstetricsWHO pregnancy risk classification, delivery plan, MFM coordination
    Second OpinionIndependent case review, written findings
    Transition ClinicAdult CHD transition document, shared-care plan