{"id":5172,"date":"2021-09-13T09:26:03","date_gmt":"2021-09-13T09:26:03","guid":{"rendered":"https:\/\/edwardseducation.com\/edwardsmasters\/?p=5172"},"modified":"2023-04-23T11:42:04","modified_gmt":"2023-04-23T11:42:04","slug":"updated-guidelines-simplify-approach-to-referrals-for-valvular-heart-disease","status":"publish","type":"post","link":"https:\/\/dev.edwardseducation.com\/edwardsmasters\/updated-guidelines-simplify-approach-to-referrals-for-valvular-heart-disease\/","title":{"rendered":"Updated guidelines simplify approach to referrals for valvular heart disease"},"content":{"rendered":"\n<p> The highly anticipated 2021 European Society of Cardiology (ESC) and European Association for Cardio-Thoracic Surgery (EACTS) guidelines for the management of valvular heart disease have finally landed.  <\/p>\n\n\n\n<p>We are excited to bring you a summary of the main updates, plus the new materials coming soon to support you and your teams in understanding and implementing the changes.&nbsp;  <\/p>\n\n\n\n<h3 class=\"has-brand-primary-color has-text-color wp-block-heading\">Key points include:<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-vertically-aligned-center\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img fetchpriority=\"high\" decoding=\"async\" width=\"256\" height=\"256\" src=\"https:\/\/edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/09SEPT21_Balance-scales_0-1.png\" alt=\"\" class=\"wp-image-5186\" srcset=\"https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/09SEPT21_Balance-scales_0-1.png 256w, https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/09SEPT21_Balance-scales_0-1-150x150.png 150w\" sizes=\"(max-width: 256px) 100vw, 256px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-normal-font-size\">Treatment recommendations for all patients with severe aortic stenosis to be made by the Heart Team <\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-vertically-aligned-center\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"226\" height=\"226\" src=\"https:\/\/edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/09SEPT21_yes-no_0-1.png\" alt=\"\" class=\"wp-image-5188\" srcset=\"https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/09SEPT21_yes-no_0-1.png 226w, https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/09SEPT21_yes-no_0-1-150x150.png 150w\" sizes=\"(max-width: 226px) 100vw, 226px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-normal-font-size\">Intervention options for patients with asymptomatic aortic stenosis <\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-vertically-aligned-center\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"218\" height=\"191\" src=\"https:\/\/edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/09SEPT21_People_0-1.png\" alt=\"\" class=\"wp-image-5187\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-normal-font-size\">Bioprosthetic valves now recommended for those with life expectancy shorter than valve durability <\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-vertically-aligned-center\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"215\" height=\"187\" src=\"https:\/\/edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/09SEPT21_Operation_0-1.png\" alt=\"\" class=\"wp-image-5189\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-normal-font-size\"> Intervention recommended for patients with secondary mitral regurgitation, who remain symptomatic despite guideline-directed medical therapy <\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"has-brand-primary-color has-text-color wp-block-heading\">Use your experience of severe aortic stenosis to ensure the best patient outcomes<\/h3>\n\n\n\n<p>The choice between surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation (TAVI) must be made following evaluation of all factors \u2013 clinical, anatomical and procedural \u2013 weighing the risks and benefits of each approach for all patients with severe aortic stenosis, and after discussion with the patient. <\/p>\n\n\n\n<li class=\"has-normal-font-size\" style=\"font-weight: normal\">SAVR is recommended in younger patients under 75 years<\/strong>, who are low surgical risk<\/li>\n\n\n\n<li class=\"has-normal-font-size\" style=\"font-weight: normal\">TAVI is now recommended for all patients with severe aortic stenosis 75 years <\/strong>or older, who are suitable for transfemoral TAVI, based on clinical trial and registry data.<\/li>\n\n\n\n<li class=\"has-normal-font-size\" style=\"font-weight: normal\">Further Heart Team evaluation is required for all remaining patients \u2013 such as those under 75 years with a risk score between 4% and 8%<\/li>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"396\" src=\"https:\/\/edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/28SEPT21_Web-page-1_SAVR-TAVI-Figure_1-0-1024x396.jpg\" alt=\"\" class=\"wp-image-5353\" srcset=\"https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/28SEPT21_Web-page-1_SAVR-TAVI-Figure_1-0-1024x396.jpg 1024w, https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/28SEPT21_Web-page-1_SAVR-TAVI-Figure_1-0-300x116.jpg 300w, https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/28SEPT21_Web-page-1_SAVR-TAVI-Figure_1-0-768x297.jpg 768w, https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/28SEPT21_Web-page-1_SAVR-TAVI-Figure_1-0-1536x594.jpg 1536w, https:\/\/dev.edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/09\/28SEPT21_Web-page-1_SAVR-TAVI-Figure_1-0-2048x792.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/div>\n\n\n\n<p>Treatment options have broadened for patients with asymptomatic aortic stenosis, including those with systolic left ventricular (LV) dysfunction (LV ejection fraction &lt;55%) without another cause.<\/p>\n\n\n\n<h3 class=\"has-brand-primary-color has-text-color wp-block-heading\">Enable more of your patients to live the active lifestyle they desire<\/h3>\n\n\n\n<p class=\"has-normal-font-size\">Bioprosthetic valves now have a Class I recommendation for patients with life expectancy lower than the durability of the valve. Now, more of your patients can live a life free from anticoagulation. In addition, bioprosthetic valves may be considered for patients already on long-term novel oral anticoagulants.  <\/p>\n\n\n\n<p>Ensure you meet your patients\u2019 high expectations by offering them the best valve technologies.<\/p>\n\n\n\n<div style=\"background-color: #e9e9e9;padding: 15px\">\n<div class=\"wp-block-image\"><\/div>\n<h3 class=\"has-brand-primary-color has-text-color\"><strong>Be courageous, be experienced, be ethical&#8230; according to the guidelines!<\/strong> <\/h3>\n<p>Join us from the comfort of your office for a <a href=\"https:\/\/edwardseducation.com\/edwardsmasters\/events-courses\/\">virtual symposium<\/a> discussing the changes and what they mean for your practice. Eleven speakers from across Europe will cover the implications for the aortic, mitral and tricuspid valves. <a href=\"https:\/\/edwardseducation.com\/edwardsmasters\/wp-content\/uploads\/sites\/2\/2021\/08\/September-Virtual-Symposium-Guidelines.pdf\">Click here for the full programme.<\/a><\/p>\n<p><\/p><h3><strong class=\"has-brand-primary-color has-text-color\" style=\"font-size: larger\">Tuesday 21 September 2021<\/strong><\/h3>\n<h3 class=\"has-brand-primary-color has-text-color\" style=\"font-size: larger\">3.00\u20137.45 pm CET<\/h3>\n<h3><a href=\"https:\/\/webtv.edwardseducation.com\/register.php\"><strong>REGISTER NOW<\/strong><\/a><\/h3><p><\/p>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Coming soon from Edwards<\/h3>\n\n\n\n<li class=\"has-normal-font-size\" style=\"font-weight: normal\">Order for free the 2021 ESC Pocket Guidelines: ESC\/EACTS Guidelines on the management of valvular heart disease<\/li>\n\n\n\n<li class=\"has-normal-font-size\" style=\"font-weight: normal\">Find a full summary of the EACTS congress, plus all you need to know from the guidelines <\/li>\n\n\n\n<li class=\"has-normal-font-size\" style=\"font-weight: normal\">Follow us on <a href=\"https:\/\/twitter.com\/EdwardsLifesci\">Twitter<\/a> and <a href=\"https:\/\/www.linkedin.com\/company\/edwards-lifesciences\">LinkedIn<\/a> to be the first to know more <\/li>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-small-font-size\">Edwards, Edwards Lifesciences, and the stylized E logo are trademarks or service marks of Edwards Lifesciences Corporation or its affiliates.&nbsp; All other trademarks are the property of their respective owners.<\/p>\n\n\n\n<p class=\"has-small-font-size\">\u00a9 2021 Edwards Lifesciences Corporation. All rights\nreserved. NP&#8211;EU-0633 v1.0<\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Edwards Lifescience<\/strong>s \u2022 Route de l\u2019Etraz 70, 1260 Nyon, Switzerland \u2022 edwards.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The highly anticipated 2021 European Society of [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"topic_interest":[450,451],"secondary_topic":[459,467,494,462,455,493,453],"article_tags":[],"anatomy":[],"topics":[],"course":[],"class_list":["post-5172","post","type-post","status-publish","format-standard","hentry"],"acf":{"latestnews":false,"mostpopular":false,"views":"135","header__style":"default","header__alternative-title":"","footer-section__show":true,"footer-section__object":false,"MobileLandscapeImage":false,"MobilePortraitImage":false,"PathOrder":"0","slider__background-image":false,"slider__background-image_mobile":false,"slider__background-image_tablet":false,"slider_title":"","slider__subtitle":"","time_period":"","time_period_events":"","MobilePortraitMode_aspect_ratio_3.5":false,"Images_aspect_ratio_4.3":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - 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