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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04127naa a2200469 4500 | |
| 001 | oai:lup.lub.lu.se:6a2212da-dff5-42fa-b90d-f4c54d950443 | |
| 003 | SwePub | |
| 008 | 220426s2022 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://lup.lub.lu.se/record/6a2212da-dff5-42fa-b90d-f4c54d9504432 URI |
| 024 | 7 | a https://doi.org/10.1093/ehjqcco/qcac0012 DOI |
| 040 | a (SwePub)lu | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a for2 swepub-publicationtype |
| 072 | 7 | a ref2 swepub-contenttype |
| 100 | 1 | a Galusko, Victoru King's College Hospital4 aut |
| 245 | 1 0 | a Aortic regurgitation management : A systematic review of clinical practice guidelines and recommendations |
| 264 | c 2022-01-13 | |
| 264 | 1 | b Oxford University Press (OUP),c 2022 |
| 300 | a 14 s. | |
| 520 | a Guidelines for the diagnosis and management of aortic regurgitation (AR) contain recommendations that do not always match. We systematically reviewed clinical practice guidelines and summarized similarities and differences in the recommendations as well as gaps in evidence on the management of AR. We searched MEDLINE and Embase (1 January 2011 to 1 September 2021), 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 met our inclusion criteria. There was consensus on the definition of severe AR and use of echocardiography and of multimodality imaging for diagnosis, with emphasis on comprehensive assessment by the heart valve team to assess suitability and choice of intervention. Surgery is indicated in all symptomatic patients and aortic valve replacement is the cornerstone of treatment. There is consistency in the frequency of follow-up of patients, and safety of non-cardiac surgery in patients without indications for surgery. Discrepancies exist in recommendations for 3D imaging and the use of global longitudinal strain and biomarkers. Cut-offs for left ventricular ejection fraction and size for recommending surgery in severe asymptomatic AR also vary. There are no specific AR cut-offs for high-risk surgery and the role of percutaneous intervention is yet undefined. Recommendations on the treatment of mixed valvular disease are sparse and lack robust prospective data. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
| 653 | a Aortic regurgitation | |
| 653 | a Aortic valve | |
| 653 | a Guidelines | |
| 653 | a Systematic review | |
| 653 | a Valvular heart disease | |
| 700 | 1 | a Thornton, Georgeu Barts Health NHS Trust,University College London4 aut |
| 700 | 1 | a Jozsa, Csillau Newham University Hospital,Barts Health NHS Trust4 aut |
| 700 | 1 | a Sekar, Baskaru Gloucestershire Hospitals NHS Foundation Trust4 aut |
| 700 | 1 | a Aktuerk, Dinceru Barts Health NHS Trust4 aut |
| 700 | 1 | a Treibel, Thomas A.u Barts Health NHS Trust,University College London4 aut |
| 700 | 1 | a Petersen, Steffen E.u Queen Mary University,Barts Health NHS Trust4 aut |
| 700 | 1 | a Ionescu, Adrianu Morriston Hospital4 aut |
| 700 | 1 | a Ricci, Fabriziou Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,Casa di Cura Villa Serena,University G.d'Annunzio of Chieti-Pescara4 aut0 (Swepub:lu)fa7062ri |
| 700 | 1 | a Khanji, Mohammed Y.u Newham University Hospital,Barts Health NHS Trust,Queen Mary University4 aut |
| 710 | 2 | a King's College Hospitalb Barts Health NHS Trust4 org |
| 773 | 0 | t European Heart Journal - Quality of Care and Clinical Outcomesd : Oxford University Press (OUP)g 8:2, s. 113-126q 8:2<113-126x 2058-5225x 2058-1742 |
| 856 | 4 | u http://dx.doi.org/10.1093/ehjqcco/qcac001y FULLTEXT |
| 856 | 4 8 | u https://lup.lub.lu.se/record/6a2212da-dff5-42fa-b90d-f4c54d950443 |
| 856 | 4 8 | u https://doi.org/10.1093/ehjqcco/qcac001 |
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