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Sökning: onr:"swepub:oai:lup.lub.lu.se:0759261a-3b54-4e48-91af-8f5729acf22e" > Management of mitra...

  • Galusko, VictorKing's College Hospital (författare)

Management of mitral stenosis : a systematic review of clinical practice guidelines and recommendations

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • 2021-12-08
  • Oxford University Press (OUP),2022
  • 17 s.

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:0759261a-3b54-4e48-91af-8f5729acf22e
  • https://lup.lub.lu.se/record/0759261a-3b54-4e48-91af-8f5729acf22eURI
  • https://doi.org/10.1093/ehjqcco/qcab083DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • A number of guidelines exist with recommendations for diagnosis and management of mitral stenosis (MS). We systematically reviewed existing guidelines for diagnosis and management of MS, highlighting their similarities and differences, in order to guide clinical decision-making. We searched national and international guidelines in MEDLINE and EMBASE (5/4/2011-5/9/2021), the Guidelines International Network, Guideline Library, National Guideline Clearinghouse, National Library for Health Guidelines Finder, Canadian Medical Association Clinical Practice Guidelines Infobase, and websites of relevant organizations. Two independent reviewers screened titles and abstracts, and the full text of potentially relevant articles where needed. Selected guidelines were assessed for rigor of development; only guidelines with Appraisal of Guidelines for Research and Evaluation II instrument score >50% were included in the final analysis. Four guidelines were retained for analysis. There was consensus for percutaneous mitral balloon commissurotomy as first-line treatment of symptomatic severe rheumatic MS with suitable anatomy. In patients with unfavourable anatomy, surgical intervention should be considered. Exercise testing is indicated if discrepancy exists between symptoms and echocardiographic measurements. There was no clear divide between rheumatic MS and degenerative MS for their respective diagnoses and management. Pregnancy in severe MS is discouraged and the stenosis should be treated before conception. Long-term antibiotic prophylaxis is recommended for patients with rheumatic MS. Recommendations for the management of patients with mixed valvular diseases are lacking.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Ionescu, AdrianSwansea Bay University Health Board (författare)
  • Edwards, AmyNewham University Hospital (författare)
  • Sekar, BaskarSwansea Bay University Health Board (författare)
  • Wong, KitBarts Health NHS Trust (författare)
  • Patel, KetnaBarts Health NHS Trust (författare)
  • Lloyd, GuyBarts Health NHS Trust,Newham University Hospital (författare)
  • Ricci, FabrizioLund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,University G.d'Annunzio of Chieti-Pescara,Casa di Cura Villa Serena(Swepub:lu)fa7062ri (författare)
  • Khanji, Mohammed Y.Newham University Hospital,Barts Health NHS Trust,Queen Mary University (författare)
  • King's College HospitalSwansea Bay University Health Board (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:European heart journal. Quality of care & clinical outcomes: Oxford University Press (OUP)8:6, s. 602-6182058-17422058-5225

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