Why the study?
Should early surgery be conducted for asymptomatic patients with severe AR with an LVEF 50% and an LVESD index >25 mm/m2?
Should early surgery be conducted for asymptomatic patients with severe AR with an LVEF 50% and an LVESD index >25 mm/m2?
These guidelines recommend that early surgery may be considered for asymptomatic patients with severe aortic regurgitation who have an LVEF of 50% and an LVESD index >25 mm/m2.
Answers are grounded in this paper and cite their sources.
Early surgery may be considered in asymptomatic severe AR with LVEF ≥50% and LVESD index >25 mm/m²; extends 2020 Japanese valvular guidelines with refined thresholds.
J-STAGE Advance Publication released online September 11, 2020 This document is an English version of JCS/JSCS/JATS/JSVS 2020 Guidelines on the Management of Valvular Heart Disease reported at the 84th Annual Scientific Meeting of Japanese Circulation Society performed in 2020 (Website: https://www.j-circ. or.jp/cms/wp-content/uploads/2020/05/JCS2020_Izumi_Eishi_0420.pdf) Refer to Appendix 1 for the details of members. Joint Working Group: Japanese Circulation Society; Japanese Society for Cardiovascular Surgery; Japanese Association for Thoracic Surgery; Japanese Society for Vascular Surgery; Japanese College of Cardiology; Japanese Society of Echocardiography; Japanese Association of Cardiovascular Intervention and Therapeutics; Japanese Society for Heart Valve Disease; Japan Minimally Invasive Cardiac Surgery Mailing address: Scientific Committee of the Japanese Circulation Society, 18F Imperial Hotel Tower, 1-1-1 Uchisaiwai-cho, Chiyoda-ku, Tokyo 100-0011, Japan. E-mail: meeting@j-circ.or.jp All rights are reserved to the Japanese Circulation Society. For permissions, please e-mail: cj@j-circ.or.
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Izumi et al. (2020) studied Valvular heart disease. JCS/JSCS/JATS/JSVS 2020 Clinical Practice Guidelines was evaluated. The JCS/JSCS/JATS/JSVS 2020 guidelines provide updated recommendations for the diagnosis, risk assessment, and surgical or transcatheter management of valvular heart disease.
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