Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

2020 Focused Update of the 2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation

Robert O. Bonow, Patrick T. O’Gara, David Adams, Vinay Badhwar, Joseph E. Bavaria, Sammy Elmariah, Judy Hung, JoAnn Lindenfeld, Alanna A. Morris, Ruby Satpathy, Brian Whisenant, Y. Joseph Woo

Journal of the American College of Cardiology · 2020

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Summary

This 2020 focused update from the American College of Cardiology provides expert consensus guidance on the contemporary management of mitral regurgitation, refining the 2017 decision pathway with newly available evidence. The paper addresses diagnostic approaches, patient risk assessment, medical optimisation, and surgical timing considerations. As a clinical consensus document rather than a primary research study, it synthesises evidence to inform cardiology practice but does not report original trial or observational data.

UK applicability

UK cardiologists and cardiac surgeons would reference this American consensus document alongside relevant NICE guidance and European Society of Cardiology recommendations; however, the paper's direct applicability to UK National Health Service practice depends on alignment with UK-specific clinical pathways and healthcare resources.

Key measures

Clinical decision thresholds, surgical intervention criteria, imaging parameters, and medical management strategies for mitral regurgitation patients

Outcomes reported

The paper presents updated clinical consensus recommendations for the diagnosis, risk stratification, and management of mitral regurgitation, incorporating evidence published since the 2017 guideline.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Guideline
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1016/j.jacc.2020.02.005
Catalogue ID
SNmojbiqtj-ae73te

Topic tags

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