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  • 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 (author)

Tricuspid regurgitation management : a systematic review of clinical practice guidelines and recommendations

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

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

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:606266e0-2cb9-4770-a333-edea53fef0f8
  • https://lup.lub.lu.se/record/606266e0-2cb9-4770-a333-edea53fef0f8URI
  • https://doi.org/10.1093/ehjqcco/qcab081DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • Tricuspid regurgitation (TR) is a highly prevalent condition and an independent risk factor for adverse outcomes. Multiple clinical guidelines exist for the diagnosis and management of TR, but the recommendations may sometimes vary. We systematically reviewed high-quality guidelines with a specific focus on areas of agreement, disagreement, and gaps in evidence. We searched MEDLINE and EMBASE (1 January 2011 to 30 August 2021), the Guidelines International Network International, Guideline Library, National Guideline Clearinghouse, National Library for Health Guidelines Finder, Canadian Medical Association Clinical Practice Guidelines Infobase, Google Scholar, and websites of relevant organizations for contemporary guidelines that were rigorously developed (as assessed by the Appraisal of Guidelines for Research and Evaluation II tool). Three guidelines were finally retained. There was consensus on a TR grading system, recognition of isolated functional TR associated with atrial fibrillation, and indications for valve surgery in symptomatic vs. asymptomatic patients, primary vs. secondary TR, and isolated TR forms. Discrepancies exist in the role of biomarkers, complementary multimodality imaging, exercise echocardiography, and cardiopulmonary exercise testing for risk stratification and clinical decision-making of progressive TR and asymptomatic severe TR, management of atrial functional TR, and choice of transcatheter tricuspid valve intervention (TTVI). Risk-based thresholds for quantitative TR grading, robust risk score models for TR surgery, surveillance intervals, population-based screening programmes, TTVI indications, and consensus on endpoint definitions are lacking.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Bufano, GabriellaUniversity G.d'Annunzio of Chieti-Pescara (author)
  • Galusko, VictorKing's College Hospital (author)
  • Sekar, BaskarSwansea Bay University Health Board (author)
  • Benedetto, UmbertoUniversity G.d'Annunzio of Chieti-Pescara (author)
  • Awad, Wael I.Barts Health NHS Trust (author)
  • Di Mauro, MicheleUniversity G.d'Annunzio of Chieti-Pescara (author)
  • Gallina, SabinaUniversity G.d'Annunzio of Chieti-Pescara (author)
  • Ionescu, AdrianSwansea Bay University Health Board (author)
  • Badano, LuigiIstituto Auxologico Italiano,University of Milano-Bicocca (author)
  • Khanji, Mohammed Y.Newham University Hospital,Queen Mary University,Maastricht University (author)
  • Kardiovaskulär forskning - hypertoniForskargrupper vid Lunds universitet (creator_code:org_t)

Related titles

  • In:European heart journal. Quality of care & clinical outcomes: Oxford University Press (OUP)8:3, s. 238-2482058-17422058-5225

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