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Mitral regurgitatio...
Mitral regurgitation management : a systematic review of clinical practice guidelines and recommendations
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- Galusko, Victor (författare)
- King's College Hospital
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Sekar, Baskar (författare)
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- Ricci, Fabrizio (författare)
- 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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- Wong, Kit (författare)
- Barts Health NHS Trust
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- Bhattacharyya, Sanjeev (författare)
- Barts Health NHS Trust,Queen Mary University
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- Mullen, Michael (författare)
- Barts Health NHS Trust
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- Gallina, Sabina (författare)
- University G.d'Annunzio of Chieti-Pescara
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- Ionescu, Adrian (författare)
- Swansea Bay University Health Board
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- Khanji, Mohammed Yunus (författare)
- Newham University Hospital,Queen Mary University,Barts Health NHS Trust
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(creator_code:org_t)
- 2021-12-08
- 2022
- Engelska 15 s.
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Ingår i: European heart journal. Quality of care & clinical outcomes. - : Oxford University Press (OUP). - 2058-1742 .- 2058-5225. ; 8:5, s. 481-495
- Relaterad länk:
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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
Ämnesord
Stäng
- Multiple guidelines exist for the diagnosis and management of mitral regurgitation (MR), the second most common valvular heart disease in high-income countries, with recommendations that do not always match. We systematically reviewed guidelines on diagnosis and management of MR, highlighting similarities and differences to guide clinical decision-making. We searched national and international guidelines in MEDLINE and EMBASE (1 June 2010 to 1 September 2021), the Guidelines International Network, National Guideline Clearinghouse, National Library for Health Guidelines Finder, Canadian Medical Association Clinical Practice Guidelines Infobase, and websites of relevant organizations. Two reviewers independently screened the abstracts and identified articles of interest. Guidelines that were rigorously developed (as assessed with the Appraisal of Guidelines for Research and Evaluation II instrument) were retained for analysis. Five guidelines were retained. There was consensus on a multidisciplinary approach from the heart team and for the definition and grading of severe primary MR. There was general agreement on the thresholds for intervention in symptomatic and asymptomatic primary MR; however, discrepancies were present. There was agreement on optimization of medical therapy in severe secondary MR and intervention in patients symptomatic despite optimal medical therapy, but no consensus on the choice of intervention (surgical repair/replacement vs. transcatheter approach). Cut-offs for high-risk intervention in MR, risk stratification of progressive MR, and guidance on mixed valvular disease were sparse.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Guidelines
- Mitral regurgitation
- Mitral valve
- Systematic review
- Valvular heart disease
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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