Practice Change in Surgical Treatment Strategies for Ischaemic Mitral Regurgitation and Late Outcomes DOI

Yong Hun Shin,

J. French, M. Mian

et al.

Heart Lung and Circulation, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Language: Английский

2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure DOI Open Access
Theresa A. McDonagh, Marco Metra, Marianna Adamo

et al.

European Heart Journal, Journal Year: 2021, Volume and Issue: 42(36), P. 3599 - 3726

Published: June 11, 2021

Language: Английский

Citations

8803

2021 ESC/EACTS Guidelines for the management of valvular heart disease DOI Open Access
Alec Vahanian, Friedhelm Beyersdorf, Fabien Praz

et al.

European Heart Journal, Journal Year: 2021, Volume and Issue: 43(7), P. 561 - 632

Published: June 11, 2021

Guidelines •

Language: Английский

Citations

3724

2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure DOI

Theresa McDonagh,

Marco Metra, Marianna Adamo

et al.

European Journal of Heart Failure, Journal Year: 2022, Volume and Issue: 24(1), P. 4 - 131

Published: Jan. 1, 2022

Language: Английский

Citations

1516

2021 ESC/EACTS Guidelines for the management of valvular heart disease DOI Open Access
Friedhelm Beyersdorf, Alec Vahanian, Milan Milojevic

et al.

European Journal of Cardio-Thoracic Surgery, Journal Year: 2021, Volume and Issue: 60(4), P. 727 - 800

Published: Aug. 28, 2021

The ESC/EACTS Guidelines represent the views of ESC and EACTS were produced after careful consideration scientific medical knowledge evidence available at time their publication.The are not responsible in event any contradiction, discrepancy and/ or ambiguity between other official recommendations guidelines issued by relevant public health authorities, particular relation to good use healthcare therapeutic strategies.Health professionals encouraged take fully into account when exercising clinical judgment, as well determination implementation preventive, diagnostic strategies; however, ESC/ do override, way whatsoever, individual responsibility make appropriate accurate decisions each patient's condition consultation with that patient and, where and/or necessary, caregiver.Nor exempt from taking full updated competent order manage case light scientifically accepted data pursuant respective ethical professional obligations.It is also professional's verify applicable rules regulations relating drugs devices prescription.

Language: Английский

Citations

492

2021 ESC/EACTS Guidelines for the management of valvular heart disease: Developed by the Task Force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) DOI
Alec Vahanian, Friedhelm Beyersdorf, Fabien Praz

et al.

Revista Española de Cardiología (English Edition), Journal Year: 2022, Volume and Issue: 75(6), P. 524 - 524

Published: May 27, 2022

Language: Английский

Citations

383

2021 ESC/EACTS Guidelines for the management of valvular heart disease DOI Open Access
Alec Vahanian, Friedhelm Beyersdorf, Fabien Praz

et al.

EuroIntervention, Journal Year: 2022, Volume and Issue: 17(14), P. e1126 - e1196

Published: Feb. 1, 2022

The ESC Guidelines represent the views of and were produced after careful consideration scientific medical knowledge evidence available at time their dating.The is not responsible in event any contradiction, discrepancy and/or ambiguity between other official recommendations or guidelines issued by relevant public health authorities, particular relation to good use care therapeutic strategies.Health professionals are encouraged take fully into account when exercising clinical judgment as well determination implementation preventive, diagnostic strategies.However, do override way whatsoever individual responsibility make appropriate accurate decisions each patient's condition consultation with that patient caregiver where necessary.Nor exempt from taking full updated competent authorities order manage case light scientifically accepted data pursuant respective ethical professional obligations.It also professional's verify applicable rules regulations relating drugs devices prescription.

Language: Английский

Citations

284

Guía ESC 2021 sobre el diagnóstico y tratamiento de la insuficiencia cardiaca aguda y crónica DOI
Theresa A. McDonagh, Marco Metra, Marianna Adamo

et al.

Revista Española de Cardiología, Journal Year: 2022, Volume and Issue: 75(6), P. 523.e1 - 523.e114

Published: April 14, 2022

Citations

89

Transcatheter Repair versus Mitral-Valve Surgery for Secondary Mitral Regurgitation DOI
Stephan Baldus, Torsten Doenst, Roman Pfister

et al.

New England Journal of Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 31, 2024

BackgroundCurrent treatment recommendations for patients with heart failure and secondary mitral regurgitation include transcatheter edge-to-edge repair mitral-valve surgery. Data from randomized trials comparing these therapies are lacking in this patient population.MethodsIn noninferiority trial conducted Germany, who continued to have symptoms despite guideline-directed medical therapy were randomly assigned, a 1:1 ratio, undergo either (intervention group) or surgical replacement (surgery group). The primary efficacy end point was composite of death, hospitalization failure, reintervention, implantation an assist device, stroke within 1 year after the procedure. safety major adverse events 30 days procedure.ResultsA total 210 underwent randomization. mean (±SD) age 70.5±7.9 years, 39.9% women, left ventricular ejection fraction 43.0±11.7%. Within year, at least one components occurred 16 96 available data (16.7%) intervention group 20 89 (22.5%) surgery (estimated difference, −6 percentage points; 95% confidence interval [CI], −17 6; P<0.001 noninferiority). A end-point event 15 101 (14.9%) 51 93 (54.8%) −40 CI, −51 −27; P<0.001).ConclusionsAmong regurgitation, noninferior respect rehospitalization stroke, device ventricle year. (Funded by Abbott Vascular; MATTERHORN ClinicalTrials.gov number, NCT02371512.)

Language: Английский

Citations

38

Valvular heart disease: from mechanisms to management DOI
Fabien Praz, Friedhelm Beyersdorf, Kristina H. Haugaa

et al.

The Lancet, Journal Year: 2024, Volume and Issue: 403(10436), P. 1576 - 1589

Published: March 27, 2024

Language: Английский

Citations

26

Artificial intelligence-derived risk score for mortality in secondary mitral regurgitation treated by transcatheter edge-to-edge repair: the EuroSMR risk score DOI

Jörg Hausleiter,

Mark Lachmann, Lukas Stolz

et al.

European Heart Journal, Journal Year: 2024, Volume and Issue: 45(11), P. 922 - 936

Published: Jan. 19, 2024

Abstract Background and Aims Risk stratification for mitral valve transcatheter edge-to-edge repair (M-TEER) is paramount in the decision-making process to appropriately select patients with severe secondary regurgitation (SMR). This study sought develop validate an artificial intelligence-derived risk score (EuroSMR score) predict 1-year outcomes (survival or survival + clinical improvement) SMR undergoing M-TEER. Methods An was developed from EuroSMR cohort (4172 428 treated M-TEER derivation validation cohorts, respectively). The validated compared established models. Results score, which based on 18 clinical, echocardiographic, laboratory, medication parameters, allowed improved discrimination of surviving non-surviving (hazard ratio 4.3, 95% confidence interval 3.7–5.0; P &lt; .001), outperformed scores cohort. Prediction mortality (area under curve: 0.789, 0.737–0.842) ranged &lt;5% &gt;70%, including identification extreme-risk population (2.6% entire cohort), had a very high probability not beyond 1 year 6.5, 3.0–14; .001). top 5% highest showed event rates 72.7% 83.2% lack improvement at follow-up. Conclusions may allow prognostication heart failure SMR, who are considered procedure. expected facilitate shared team members patients.

Language: Английский

Citations

22