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Related Concept Videos

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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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Prosthetic aortic valve selection: current patient experience, preferences and knowledge.

Nelleke M Korteland1, Frans J Bras2, Fabienne M A van Hout3

  • 1Department of Cardio-Thoracic Surgery , Erasmus MC , Rotterdam , The Netherlands.

Open Heart
|April 21, 2015
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Summary
This summary is machine-generated.

Many patients undergoing aortic valve replacement (AVR) experience decisional conflict and lack knowledge regarding prosthetic valves. Enhancing shared decision-making (SDM) tools is crucial for improving patient involvement and satisfaction with valve selection.

Keywords:
QUALITY OF CARE AND OUTCOMES

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Area of Science:

  • Cardiovascular Surgery
  • Patient Decision Making
  • Prosthetic Valve Technology

Background:

  • Current guidelines recommend shared decision-making (SDM) for prosthetic valve selection.
  • Aortic valve replacement (AVR) involves complex choices regarding prosthetic valves.

Purpose of the Study:

  • To assess patient experiences with decision-making in prosthetic valve selection for AVR.
  • To evaluate patient preferences for SDM and risk communication.
  • To examine patient knowledge and numeracy regarding prosthetic valves.

Main Methods:

  • A prospective, multicenter cohort study surveyed AVR patients preoperatively and 3 months postoperatively.
  • Surveys assessed decisional conflict, involvement in decision-making, prosthetic valve knowledge, and numeracy.
  • Patient satisfaction with the chosen prosthetic valve was evaluated post-surgery.

Main Results:

  • 56% of patients experienced decisional conflict, with 25% feeling unsure about their choice.
  • 68% desired involvement in decision-making, but only 53% felt actively involved.
  • Prosthetic valve knowledge (69%) and numeracy (56%) were suboptimal.
  • Post-surgery, 90% of patients were satisfied with their prosthetic valve, irrespective of type.

Conclusions:

  • Many AVR patients face decisional conflict and have limited understanding of prosthetic valve options.
  • There is a strong patient preference for SDM in prosthetic valve selection.
  • Developing improved SDM tools is essential to enhance patient involvement, understanding, and decision quality.