ACC/AHA Versus ESC Guidelines on Prosthetic Heart Valve Management JACC Guideline Comparison

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:73

Article

Singh, Maninder^1,2  Sporn, Zachary A.²  Schaff, Hartzell V.³  Pellikka, Patricia A.⁴ 

[1] Robert Packer Hosp, Guthrie Med Grp, Dept Cardiol, 1 Guthrie Sq, Sayre, PA 18840 USA

[2] Geisinger Commonwealth Sch Med, Scranton, PA USA

[3] Mayo Clin, Dept Cardiovasc Surg, Rochester, MN USA

[4] Mayo Clin, Dept Cardiovasc Med, Rochester, MN USA

关键词: comparison;    guidelines;    imaging;    prosthetic heart valves;    valvular heart disease;   

DOI  :  10.1016/j.jacc.2019.01.038

来源: Elsevier

【 摘 要 】

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. (C) 2019 by the American College of Cardiology Foundation.

【 授权许可】

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