Universität zu Köln

Nettersheim, F. S. and Baldus, S. (2022). ESC/EACTS guidelines 2021 on the management of valvular heart diseases What are the most important innovations? Herz, 47 (1). S. 19 - 31. MUNICH: URBAN & VOGEL. ISSN 1615-6692

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Abstract

In August 2021 the European Society for Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) updated their guidelines on the management of valvular heart disease. Since the publication of the previous version in 2017 new evidence regarding epidemiology, diagnosis and treatment of valvular heart diseases has been accumulating, which led to reassessment of several recommendations. Most importantly, the critical role of the heart team in treatment decision-making was reemphasized, the criteria for choosing the mode of aortic valve interventions were clarified, the definition of severe secondary mitral regurgitation was revised and the recommendation for transcatheter edge-to-edge mitral valve repair in patients with this condition was upgraded. Additionally, antithrombotic therapeutic regimens in patients with native valvular heart diseases and bioprostheses were reappraised, the indications for early surgery in selected asymptomatic patient groups were expanded and the potential of transcatheter tricuspid valve interventions in inoperable and high-risk patients was acknowledged, although the latter needs to be further evaluated. This review article summarizes the most important recommendations of the new guidelines.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Nettersheim, F. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Baldus, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-568109
DOI:	10.1007/s00059-021-05068-5
Journal or Publication Title:	Herz
Volume:	47
Number:	1
Page Range:	S. 19 - 31
Date:	2022
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1615-6692
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language AORTIC-VALVE-REPLACEMENT; TRANSCATHETER; REGURGITATION; OUTCOMES; COLLABORATION; IMPLANTATION; EXPERIENCE; STENOSIS; SOCIETY; ESC Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56810