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[Antiplatelet or anticoagulative strategies after surgical/interventional valve treatment]

A Jobs1, T Stiermaier1, S Klotz2

  • 1Medizinische Klinik II, Universitäres Herzzentrum Lübeck, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

Herz
|November 18, 2017
PubMed

Insights

New European guidelines for valvular heart disease treatment were released in 2017. This review covers antiplatelet and anticoagulative therapy recommendations after aortic and mitral valve surgery or intervention.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery

Background:

  • The European Society of Cardiology (ESC) and European Association for Cardio-Thoracic Surgery (EACTS) released joint guidelines in 2017.
  • These guidelines update the 2012 recommendations for valvular heart disease management.

Purpose of the Study:

  • To review current guideline recommendations for antiplatelet and anticoagulative therapy.
  • Focus on post-surgical/interventional treatment of aortic and mitral valves.

Main Methods:

  • Review of the 2017 ESC/EACTS joint guidelines.
  • Analysis of scientific evidence supporting therapeutic recommendations.

Main Results:

  • The guidelines incorporate recent scientific advancements.
  • Specific recommendations for antiplatelet and anticoagulative therapies are detailed.

Conclusions:

  • The 2017 guidelines provide updated evidence-based strategies for valvular heart disease treatment.
  • Key focus on optimizing antiplatelet and anticoagulative management post-valve procedures.

Keywords:
AnticoagulationAntiplatelet therapyHeart valve diseasesMitral valve replacementTranscatheter aortic valve implantation

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