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Tier 4 — Narrative / commentaryPeer-reviewed

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

Catherine M Otto, Rick A. Nishimura, Robert O. Bonow, Blasé A. Carabello, John P. Erwin, Federico Gentile, Hani Jneid, Eric V. Krieger, Michael J. Mack, Christopher McLeod, Patrick T. O’Gara, Vera H. Rigolin, Thoralf M. Sundt, Annemarie Thompson, Christopher Toly

Circulation · 2020

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Summary

This executive summary of the 2020 ACC/AHA valvular heart disease guideline synthesises evidence from a comprehensive literature review (2010–2020) to provide updated clinical recommendations for diagnosis and management. The guideline updates prior recommendations with new evidence regarding diagnostic approaches, surgical and catheter-based interventions, and medical therapies. The summary focuses on key recommendations whilst referring readers to the full guideline for detailed rationale, flow charts, and evidence tables.

Regional applicability

As a joint ACC/AHA guideline from major United States cardiology organisations, direct applicability to UK practice depends on alignment with NICE guidance and NHS standards. UK clinicians may use this as international best-practice reference, though localised adaptation to NHS pathways and drug formularies would be necessary.

Key measures

Clinical diagnostic and treatment recommendations based on systematic literature review of evidence from January 2010 to March 2020

Outcomes reported

The guideline provides updated recommendations for diagnosis and management of valvular heart disease, including diagnostic work-up, timing and choice of surgical and catheter interventions, and medical therapy options.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Guideline
Study design
Guideline
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1161/cir.0000000000000932
Catalogue ID
SNmojad67b-pvpldz

Topic tags

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