Document Detail


What is new in the 2006 ACC/AHA guidelines on valvular heart disease?
MedLine Citation:
PMID:  18417007     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In June 2006, the American College of Cardiology/American Heart Association Guidelines for the Management of Patients with Valvular Heart disease were published. Although many recommendations were unchanged from the 1998 guidelines, several new suggestions bear comment. The new guidelines favor a more aggressive approach to most valve lesions. For patients with low-gradient, low ejection fraction aortic stenosis, detecting inotropic reserve to help risk stratify such patients is now recommended. In the field of aortic regurgitation, the use of vasodilators to forestall surgery has been called into doubt by newer data; thus, recommendations for vasodilator use have been softened. For patients with mitral regurgitation, earlier surgery and mitral repair are highlighted. The new guidelines also reflect a growing trend toward the use of biological valves instead of mechanical prostheses. This 150-page document with more than 1000 references should be useful in guiding practice for these often complex patients. This article summarizes some of the more salient changes in 2006 compared with those of 1998.
Authors:
Blase A Carabello
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current cardiology reports     Volume:  10     ISSN:  1534-3170     ISO Abbreviation:  Curr Cardiol Rep     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-04-17     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888969     Medline TA:  Curr Cardiol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  85-90     Citation Subset:  IM    
Affiliation:
Veterans Affairs Medical Center, Medical Service (111), 2002 Holcombe Boulevard, Houston, TX 77030, USA. blaseanthony.carabello@med.va.gov
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MeSH Terms
Descriptor/Qualifier:
American Heart Association
Aortic Valve Insufficiency / surgery
Aortic Valve Stenosis / surgery
Bioprosthesis*
Heart Valve Diseases / drug therapy,  surgery*
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation*
Humans
Mitral Valve Stenosis / surgery
Practice Guidelines as Topic*
Societies, Medical
Stroke Volume
United States
Vasodilator Agents / therapeutic use
Chemical
Reg. No./Substance:
0/Vasodilator Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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