February 24, 2026: ACHD Guideline in Focus—From Survival to Stewardship | JACC This Week
About this episode
The episode discusses the 2025 ACHD Guidelines and their implications for the future of cardiovascular care.
In this episode of JACC This Week, Dr. Carolyn Lam and Dr. Harlan Krumholz spotlight the 2025 Adult Congenital Heart Disease (ACHD) Guidelines and explore what they signal for the future of cardiovascular care. Framed by Dr. Krumholz's Editor's Page, "From Survival to Stewardship," this discussion highlights a broader transformation in cardiology: advances that once turned fatal conditions into survivable ones now demand lifelong, structured, and hyper-specialized care. The conversation examines how ACHD exemplifies the shift from episodic survival to coordinated stewardship—where surveillance, systems design, and scalable expertise are essential. The episode also reviews key updates from the guidelines, including risk-based classification, lifelong monitoring, ACHD center collaboration, and global and early-career perspectives. Additional highlights from the issue include cardiac screening in the young, cardio-renal trial insights from CONFIDENCE, wildfire-related cardiovascular risk, and emerging cardiometabolic intersections. This mini-spotlight issue challenges clinicians to rethink how specialized cardiovascular care can be delivered effectively at scale.
People in this episode
Host: Dr. Carolyn Lam
Guest: Dr. Harlan Krumholz
Topics covered
- Adult Congenital Heart Disease
- cardiovascular care
- guidelines
- lifelong monitoring
- specialized care
Keywords
- ACHD Guidelines
- cardiovascular care
- lifelong monitoring
- risk-based classification
- cardiac screening
Mentioned in this episode
Organizations: American College of Cardiology
Books & works: From Survival to Stewardship
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