2025 ACC/AHA/HRS/ISACHD/SCAI Guideline for the Management of Adults With Congenital Heart Disease
Published: December 18, 2025
- Adults with congenital heart disease (ACHD) benefit from routine care at ACHD centers and in collaboration with ACHD cardiologists. Multidisciplinary teams are useful for complex-care decision-making.
- Patients with anatomic or physiologically moderate or complex ACHD who undergo cardiac or non- cardiac procedures are recommended to have an ACHD cardiologist involved in their care to offer expert guidance on procedures, anesthesia, and postprocedural management.
- New recommendations on guideline-directed medical therapy for heart failure in patients with ACHD include people with a systemic right or left ventricle and discussions of pacing strategies for a systemic right ventricle and Fontan circulation.
Message from the Chairs
Writing Committee Chair Michelle Gurvitz, MD MS and Co-Vice-Chairs Eric V. Krieger, MD and Stephanie Fuller, MD, MS, FAHA announce the publication of the ACHD guideline and discuss some of the key changes reflected in the 2025 update.
Clinical Update Slides & Infographics
- AHA Clinical Slide Series: 2025 Guideline for the Management of Adults with Congenital Heart Disease
Download: AHA Clinical Slide Series - Infographic: Adults with Congenital Heart Disease Collaborator
Download: Adults with Congenital Heart Disease Collaborator Infographic
Recommended Reading
- Cardiopulmonary Exercise Test Interpretation Across the Lifespan in Congenital Heart Disease
- Neurodevelopmental Outcomes for Individuals With Congenital Heart Disease: Updates in Neuroprotection, Risk-Stratification, Evaluation, and Management
- Long-Term Management of Right Ventricular Outflow Tract Dysfunction in Repaired Tetralogy of Fallot
Related Resources
- Hub - 2025 Guideline for the Management of Adults With Congenital Heart Disease
- Key Patient Messages: 2025 Guideline for the Management of Adults with Congenital Heart Disease
- 2025 Adult Congenital Heart Disease (ACHD) Anatomic and Physiological Classification System
- ACHD Pocket Guide
- Recent Guidelines and Statements