March 4, 2014Circulation
2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary
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“Due to more knowledge regarding the natural history of untreated patients with severe VHD and better outcomes from surgery, we've lowered the threshold for operation to include more patients with asymptomatic severe valve disease. Now, select patients with severe asymptomatic aortic stenosis and severe asymptomatic mitral regurgitation can be considered for intervention, depending on certain other factors, such as operative mortality and in the case of mitral regurgitation, the ability to achieve a durable valve repair.”
“We needed to do things differently. These guidelines were created in a different format from prior valvular heart disease guidelines. We wanted these guidelines to promote access to concise, relevant bytes of information at the point of care.”
“Once we categorize patients that way, then it's much easier to talk about how we're managing those patients differently according to the guidelines-based approach, based upon those various stages.”
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Nishimura et al. (2014) studied this question.