2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
Abstract
Aim: This executive summary of the valvular heart disease guideline provides recommendations for clinicians to diagnose and manage valvular heart disease as well as supporting documentation to encourage their use. Methods: A comprehensive literature search was conducted from January 1, 2010, to March 1, 2020, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, Cochrane, Agency for Healthcare Research and Quality Reports, and other selected database relevant to this guideline. Structure: Many recommendations from the earlier valvular heart disease guidelines have been updated with new evidence and provides newer options for diagnosis and treatment of valvular heart disease. This summary includes only the recommendations from the full guideline which focus on diagnostic work-up, the timing and choice of surgical and catheter interventions, and recommendations for medical therapy. The reader is referred to the full guideline for graphical flow charts, text, and tables with additional details about the rationale for and implementation of each recommendation, and the evidence tables detailing the data considered in developing these guidelines.
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Current American and European guidelines recommend noncontrast CT-calcium scoring as a complementary imaging diagnostic test to differentiate true-severe aortic stenosis from nonsevere aortic stenosis in patients with moderate versus severe discordant grading.
“Current American and European guidelines now recommend the use of noncontrast CT‐calcium scoring as a complementary imaging diagnostic test to differentiate between “true‐severe” AS from nonsevere AS in these patients with moderate versus severe DG. 3 , 4”
From Grading of Aortic Valve Calcification Severity and Risk Stratification in Aortic Stenosis (2024) · cites this paper as [3]
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- Authors
- Otto, C. M., Nishimura, R. A., Bonow, R. O., Carabello, B. A., Erwin, J. P., Gentile, F., Jneid, H., Krieger, E. V., Mack, M., McLeod, C., O’Gara, P. T., Rigolin, V. H., Sundt, T. M., Thompson, A., & Toly, C.
- Affiliations
- American College of Cardiology (US)
- ORCID
- Venue
- Circulation
- Published
- 2021-02-02
- Volume
- 143
- Issue
- 5
- Pages
- 450-500
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W3110765623
- Cited by
- 2,449
- References
- 821
- Citations by year
- 2026: 189 · 2025: 482 · 2024: 564 · 2023: 514 · 2022: 435 · 2021: 256 · 2020: 5 · 2015: 1
- FWCI
- 187.04
- Type
- journal article
- Language
- en
- Update notices
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Disease and Treatment Approaches
- Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
- Keywords
- valvular heart disease, diagnosis, transcatheter valve therapy, medical therapy, intervention timing
- MeSH terms
- American Heart Association, Cardiology, Heart Valve Diseases, Humans, United States
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