Table 2

Follow-up assessments

AssessmentEach visitAdditionally at transition
ClinicalHistory
Examination
Medication review
ECG12 lead
Imaging
(see also table 1)
EchocardiographyCT calcium scoring and angiography with ischaemia testing (stress MRI, stress echo, CTFFR) if indicated prior to transition to adult services
Blood testsLipid profile every 5 years HbA1c
PsychologicalFamily and patient dialogueDuring transition process from 13 to 18 years—patient focused dialogue
AdviceSmoking
Exercise
Diet
Family planning
PSP review
  • ADP, Adenine di-Phosphate; AHA, American Heart Association; CTFFR, CT fractional flow reserve; PSP, person-specific protocol.