Table 11 Recommendations for CMR in the guidelines for the management of adult congenital heart disease

Recommendations for intervention after repair of tetralogy of Fallot (TOF)

Electrophysiologic evaluation, including programmed electrical stimulation, should be considered for risk stratification for sudden cardiac death (SCD) in patients with additional risk factors (LV/RV dysfunction; non-sustained, symptomatic ventricular tachycardia (VT); QRS duration ≥ 180 ms, extensive RV scarring on CMR)

IIa

C

ICD implantation should be considered in selected TOF patients with multiple risk factors for SCD, including LV dysfunction, non-sustained,

symptomatic VT, QRS duration ≥ 180 ms, extensive RV scarring on CMR, or inducible VT at programmed electrical stimulation

IIa

C

Recommendations for the management of patients with anomalous coronary arteries

Non-pharmacological functional imaging (e.g. nuclear study, echocardiography, or CMR with physical stress) is recommended in patients with coronary anomalies to confirm/exclude myocardial ischemia

I

C