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Tricuspid regurgita...
Tricuspid regurgitation management : a systematic review of clinical practice guidelines and recommendations
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- Ricci, Fabrizio (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,University G.d'Annunzio of Chieti-Pescara
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- Bufano, Gabriella (author)
- University G.d'Annunzio of Chieti-Pescara
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- Galusko, Victor (author)
- King's College Hospital
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- Sekar, Baskar (author)
- Swansea Bay University Health Board
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- Benedetto, Umberto (author)
- University G.d'Annunzio of Chieti-Pescara
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- Awad, Wael I. (author)
- Barts Health NHS Trust
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- Di Mauro, Michele (author)
- University G.d'Annunzio of Chieti-Pescara
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- Gallina, Sabina (author)
- University G.d'Annunzio of Chieti-Pescara
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- Ionescu, Adrian (author)
- Swansea Bay University Health Board
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- Badano, Luigi (author)
- Istituto Auxologico Italiano,University of Milano-Bicocca
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- Khanji, Mohammed Y. (author)
- Newham University Hospital,Queen Mary University,Maastricht University
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(creator_code:org_t)
- 2021-12-08
- 2022
- English 11 s.
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In: European heart journal. Quality of care & clinical outcomes. - : Oxford University Press (OUP). - 2058-1742 .- 2058-5225. ; 8:3, s. 238-248
- Related links:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Subject headings
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- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Tricuspid regurgitation • Guidelines • Systematic review • Valvular heart disease • Tricuspid valve • Transcatheter intervention
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Ricci, Fabrizio
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Bufano, Gabriell ...
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Galusko, Victor
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Sekar, Baskar
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Benedetto, Umber ...
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Awad, Wael I.
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show more...
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Di Mauro, Michel ...
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Gallina, Sabina
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Ionescu, Adrian
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Badano, Luigi
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Khanji, Mohammed ...
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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European heart j ...
- By the university
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Lund University