Today, 1.5 million to 2 million adults in the United States have congenital heart disease, which is more than the number of children with the condition. Disty Pearson, PA-C, discusses new congenital heart disease guidelines and accreditation programs for appropriate care. Although there is a lack of adult congenital heart disease cardiologists, she says physician assistants and nurse practitioners can help care for these patients, many of whom have comorbidities and neurocognitive issues.