Journal of Veterinary Internal Medicine,
Journal Year:
2019,
Volume and Issue:
33(3), P. 1127 - 1140
Published: April 11, 2019
This
report,
issued
by
the
ACVIM
Specialty
of
Cardiology
consensus
panel,
revises
guidelines
for
diagnosis
and
treatment
myxomatous
mitral
valve
disease
(MMVD,
also
known
as
endocardiosis
degenerative
or
chronic
valvular
heart
disease)
in
dogs,
originally
published
2009.
Updates
were
made
to
diagnostic,
well
medical,
surgical,
dietary
recommendations.
The
strength
these
recommendations
was
based
on
both
quantity
quality
available
evidence
supporting
diagnostic
therapeutic
decisions.
Management
MMVD
before
onset
clinical
signs
failure
has
changed
substantially
compared
with
2009
guidelines,
new
strategies
diagnose
treat
advanced
pulmonary
hypertension
are
reviewed.
Hypertension,
Journal Year:
2017,
Volume and Issue:
71(6)
Published: Nov. 13, 2017
Since
1980,
the
American
College
of
Cardiology
(ACC)
and
Heart
Association
(AHA)
have
translated
scientific
evidence
into
clinical
practice
guidelines
(guidelines)
with
recommendations
to
improve
cardiovascular
health.In
2013,
National
Heart,
Lung,
Blood
Institute
(NHLBI)
Advisory
Council
recommended
that
NHLBI
focus
specifically
on
reviewing
highest-quality
partner
other
organizations
develop
recommendations.P-1,P-2
Accordingly,
ACC
AHA
collaborated
stakeholder
professional
complete
publish
4
(on
assessment
risk,
lifestyle
modifications
reduce
management
blood
cholesterol
in
adults,
overweight
obesity
adults)
make
them
available
widest
possible
constituency.In
2014,
AHA,
partnership
several
societies,
initiated
a
guideline
prevention,
detection,
evaluation,
high
pressure
(BP)
adults.Under
ACC/
Task
Force,
Prevention
Subcommittee
was
appointed
help
guide
development
suite
prevention
disease
(CVD).These
guidelines,
which
are
based
systematic
methods
evaluate
classify
evidence,
provide
cornerstone
for
quality
care.The
sponsor
publication
without
commercial
support,
members
each
organization
volunteer
their
time
writing
review
efforts.Guidelines
official
policy
AHA.
HypertensionJune
2018of
practice.The
Force
may
also
invite
societies
related
interests
expertise
participate
as
partners,
collaborators,
or
endorsers.
Relationships
With
Industry
Other
EntitiesThe
rigorous
policies
ensure
developed
bias
improper
influence.The
relationships
industry
entities
(RWI)
can
be
found
online.Appendix
1
present
document
lists
committee
members'
relevant
RWI.For
purposes
full
transparency,
comprehensive
disclosure
information
is
online.Comprehensive
online.
Evidence
Review
CommitteesIn
developing
recommendations,
uses
evidence-based
methodologies
all
data.P-6-P-9
Literature
searches
randomized
controlled
trials
(RCTs)
but
include
registries,
nonrandomized
comparative
descriptive
studies,
case
series,
cohort
reviews,
expert
opinion.Only
key
references
cited.An
independent
(ERC)
commissioned
when
there
more
questions
deemed
utmost
importance
merit
formal
review.The
will
determine
patients
most
likely
benefit
from
drug,
device,
treatment
strategy
what
degree.Criteria
commissioning
an
ERC
include:
a)
absence
current
authoritative
review,
b)
feasibility
defining
risk
frame
consistent
guideline,
c)
relevance
substantial
number
patients,
d)
likelihood
findings
actionable
recommendations.ERC
methodologists,
epidemiologists,
healthcare
providers,
biostatisticians.The
by
basis
marked
"SR."
Guideline-Directed
Management
TherapyThe
term
guideline-directed
therapy
(GDMT)
encompasses
diagnostic
testing,
pharmacological
procedural
treatments.For
these
drug
regimens,
reader
should
confirm
dosage
product
insert
material
regimen
contraindications
interactions.The
limited
drugs,
devices,
treatments
approved
use
United
States.
Class
Recommendation
Level
EvidenceThe
(COR)
indicates
strength
recommendation,
encompassing
estimated
magnitude
certainty
proportion
risk.The
(LOE)
rates
supports
intervention
type,
quantity,
consistency
data
sources
(Table
1).P-6-P-8
New England Journal of Medicine,
Journal Year:
2018,
Volume and Issue:
379(24), P. 2307 - 2318
Published: Sept. 23, 2018
Among
patients
with
heart
failure
who
have
mitral
regurgitation
due
to
left
ventricular
dysfunction,
the
prognosis
is
poor.
Transcatheter
mitral-valve
repair
may
improve
their
clinical
outcomes.
Circulation,
Journal Year:
2020,
Volume and Issue:
143(5)
Published: Dec. 17, 2020
Aim:
This
executive
summary
of
the
valvular
heart
disease
guideline
provides
recommendations
for
clinicians
to
diagnose
and
manage
as
well
supporting
documentation
encourage
their
use.
Methods:
A
comprehensive
literature
search
was
conducted
from
January
1,
2010,
March
2020,
encompassing
studies,
reviews,
other
evidence
on
human
subjects
that
were
published
in
English
PubMed,
EMBASE,
Cochrane,
Agency
Healthcare
Research
Quality
Reports,
selected
database
relevant
this
guideline.
Structure:
Many
earlier
guidelines
have
been
updated
with
new
newer
options
diagnosis
treatment
disease.
includes
only
full
which
focus
diagnostic
work-up,
timing
choice
surgical
catheter
interventions,
medical
therapy.
The
reader
is
referred
graphical
flow
charts,
text,
tables
additional
details
about
rationale
implementation
each
recommendation,
detailing
data
considered
developing
these
guidelines.
Circulation,
Journal Year:
2018,
Volume and Issue:
139(14)
Published: Oct. 16, 2018
PREAMBLESince
1980,
the
American
College
of
Cardiology
(ACC)
and
Heart
Association
(AHA)
have
translated
scientific
evidence
into
clinical
practice
guidelines
(guidelines)
with
recommendations
to
improve
cardiovascular
health.These
guidelines,
which
are
based
on
systematic
methods
evaluate
classify
evidence,
provide
a
cornerstone
for
quality
care.The
ACC
AHA
sponsor
development
publication
without
commercial
support,
members
each
organization
volunteer
their
time
writing
review
efforts.Guidelines
official
policy
AHA.
Intended
UsePractice
applicable
patients
or
at
risk
developing
disease.The
focus
is
medical
in
United
States,
but
developed
collaboration
other
organizations
can
global
impact.Although
may
be
used
inform
regulatory
payer
decisions,
they
intended
patients'
care
align
interests.Guidelines
define
practices
meeting
needs
most,
not
all,
circumstances
should
replace
judgment.
Clinical
ImplementationManagement
accordance
guideline
effective
only
when
followed
by
both
practitioners
patients.Adherence
enhanced
shared
decision-making
between
clinicians
patients,
patient
engagement
selecting
interventions
basis
individual
values,
preferences,
associated
conditions
comorbidities.
