TY - JOUR
T1 - ACC/AHA Versus ESC Guidelines on Prosthetic Heart Valve Management
T2 - JACC Guideline Comparison
AU - Singh, Maninder
AU - Sporn, Zachary A.
AU - Schaff, Hartzell V.
AU - Pellikka, Patricia A.
N1 - Publisher Copyright:
© 2019 American College of Cardiology Foundation
PY - 2019/4/9
Y1 - 2019/4/9
N2 - Prosthetic heart valve interventions continue to evolve with new innovations in surgical and transcatheter technologies. We compared the recommendations from the 2017 American College of Cardiology/American Heart Association guidelines for management of patients with prosthetic heart valves with the 2017 European Society of Cardiology guidelines. The 2 documents differed regarding recommendations for follow-up imaging, the choice of biological versus mechanical prosthesis, bridging therapies, role of aspirin, use of fibrinolytic therapy for prosthetic valve thrombosis, and management of paravalvular regurgitation. This review highlights the differences between the 2 guidelines, summarizes new evidence, and offers recommendations for the management of patients with prosthetic heart valves in these areas of controversy.
AB - Prosthetic heart valve interventions continue to evolve with new innovations in surgical and transcatheter technologies. We compared the recommendations from the 2017 American College of Cardiology/American Heart Association guidelines for management of patients with prosthetic heart valves with the 2017 European Society of Cardiology guidelines. The 2 documents differed regarding recommendations for follow-up imaging, the choice of biological versus mechanical prosthesis, bridging therapies, role of aspirin, use of fibrinolytic therapy for prosthetic valve thrombosis, and management of paravalvular regurgitation. This review highlights the differences between the 2 guidelines, summarizes new evidence, and offers recommendations for the management of patients with prosthetic heart valves in these areas of controversy.
KW - comparison
KW - guidelines
KW - imaging
KW - prosthetic heart valves
KW - valvular heart disease
UR - http://www.scopus.com/inward/record.url?scp=85063250620&partnerID=8YFLogxK
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U2 - 10.1016/j.jacc.2019.01.038
DO - 10.1016/j.jacc.2019.01.038
M3 - Review article
C2 - 30947924
AN - SCOPUS:85063250620
SN - 0735-1097
VL - 73
SP - 1707
EP - 1718
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 13
ER -