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[Update Valvular Heart Disease: Heart Team Decision-Making Based on Patient Examples]
Alain M Bernheim1, Raban V Jeger1, Omer Dzemali2,3
1Herzzentrum Triemli, Klinik für Kardiologie, Stadtspital Zürich Triemli, Zürich, Schweiz.
Insights
Mitral regurgitation and aortic stenosis are common heart valve diseases, especially in older adults. This article reviews guideline-conform heart team decisions for managing these conditions using patient examples.
Area of Science:
- Cardiology
- Valvular Heart Disease
- Interventional Cardiology
Context:
- Mitral regurgitation and aortic stenosis are prevalent in Europe, increasing with age.
- These conditions significantly impact patient quality of life and prognosis.
- An aging population and comorbidities present growing healthcare challenges.
Purpose:
- To provide an overview of guideline-conform heart team decisions.
- To illustrate therapeutic strategies using patient case examples.
- To inform interdisciplinary heart team discussions.
Summary:
- Focuses on the management of mitral regurgitation and aortic stenosis.
- Discusses both surgical and catheter-based treatment options.
- Emphasizes individualized patient care through heart team collaboration.
Impact:
- Aims to optimize treatment strategies for valvular heart disease.
- Supports evidence-based decision-making in complex cardiac cases.
- Contributes to improved patient outcomes in valvular interventions.
Introduction:
In Europe, mitral regurgitation and aortic stenosis are the most common valve lesions requiring interventions. In advanced stages, these valve pathologies affect patients' quality of life and prognosis. The prevalence of mitral regurgitation and aortic stenosis is increasing with age. In view of an aging population and the comorbidities associated with age, these valve defects represent an increasing challenge to health care providers. Nowadays, surgical as well as catheter-based treatment options are available to treat affected patients. Therapeutic strategies suitable to the individual patient should be discussed in interdisciplinary heart teams. The aim of the present article is to give an overview of possible guideline-conform heart team decisions based on patient examples.
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