Management of Adults With Congenital Heart Disease
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General Principles
Figure 1. Management of Hyperviscosity Symptoms in
Cyanotic ACHD
NO
NO
NO
YES
YES
YES
No phlebotomy
3: No Benefit
Dehydration
present?
1
Rehydrate
1
Treat iron
deficiency
Symptoms of
hyperviscosity*?
Iron deficiency
present?
* All patients should have at least annual screening for iron deficiency.
ACHD indicates adult congenital heart disease; and HCT, hematocrit.
