Test | Suggested schedule |
Echocardiography | During childhood: At least once annually In adulthood: Every 6 months to 2 years, depending on physiologic stage |
ECG | At least once annually in children and adults |
CMR or cardiac CT* | During childhood: Not typically performed unless there is specific clinical concern for RV dilation and/or RV dysfunction In adolescence and adulthood: Every 1 to 3 years depending on physiologic stage |
Ambulatory ECG monitoring | During childhood: Can be considered every 3 to 4 years or more frequently if there are symptoms or other clinical concerns for arrhythmia In adolescence and adulthood: Every 1 to 2 years for individuals with physiologic stage C or D |
Exercise testing | During childhood: Not typically performed In adolescence and adulthood: Every 1 to 5 years depending on level of clinical concern |
Cardiac catheterization | Not routinely performed (indications include evaluation prior to transcatheter intervention or evaluation for suspected pulmonary hypertension) |
Electrophysiologic study with ventricular stimulation | Not routinely performed (indications include documented VT or multiple risk factors for VT) |
CMR: cardiovascular magnetic resonance; CT: computed tomography; ECG: electrocardiography; RV: right ventricle; RVOT: right ventricular outflow tract; TOF: tetralogy of Fallot; VT: ventricular tachycardia.
* Cardiac CT may be used if CMR is not feasible. When using cardiac CT, the benefit of routine imaging must be weighed against the risks associated with radiation exposure.Do you want to add Medilib to your home screen?