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- Educational Series on the Specialist Valve Clinic
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The central role of the cardiac imager in heart valve disease
Echo Research & Practice volume 6, pages T15–T21 (2019)
Abstract
In this review, we discuss the central role of the imager in the heart team in the successful application of current guidelines for heart valve diseases to daily practice, and for improving patient care through new approaches, new techniques and new strategies for dealing with increasingly complex cases. This is an opportunity to emphasize the importance of having good imagers and the value of continuous learning in a modern heart team. It is essential to employ technological improvements and to appropriately adapt guidelines to the patients we see day to day.
References
Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, Iung B, Lancellotti P, Lansac E, Rodriguez Muñoz D, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. European Heart Journal 2017 2739–2791. https://doi.org/10.1093/eurheartj/ehx391)
Chambers JB, Prendergast B, Iung B, Rosenhek R, Zamorano JL, Pierard LA, Modine T, Falk V, Kappetein AP, Pibarot P, et al. Standards defining a ‘Heart Valve Centre’: ESC Working Group on valvular heart disease and European Association for cardiothoracic surgery viewpoint. European Journal of Cardio-Thoracic Surgery 2017 418–424. https://doi.org/10.1093/ejcts/ezx283)
Bhattacharyya S, Pavitt C, Lloyd G, Chambers JB & British Heart Valve Society. Prevalence and composition of heart valve multi-disciplinary teams within a national health system. International Journal of Cardiology 2014 1120–1121. https://doi.org/10.1016/j.ijcard.2014.08.070)
Steiner JM, Cooper S & Kirkpatrick JN. Palliative care in end-stage valvular heart disease. Heart 2017 1233–1237. https://doi.org/10.1136/heartjnl-2016-310538)
Castano A, Narotsky DL, Hamid N, Khalique OK, Morgenstern R, DeLuca A, Rubin J, Chiuzan C, Nazif T, Vahl T, et al. Unveiling transthyretin cardiac amyloidosis and its predictors among elderly patients with severe aortic stenosis undergoing transcatheter aortic valve replacement. European Heart Journal 2017 2879–2887. https://doi.org/10.1093/eurheartj/ehx350)
Vollema EM, Amanullah MR, Ng ACT, van der Bijl P, Prevedello F, Sin YK, Prihadi EA, Marsan NA, Ding ZP, Généreux P, et al. Staging cardiac damage in patients with symptomatic aortic valve stenosis. Journal of the American College of Cardiology 2019 538–549. https://doi.org/10.1016/j.jacc.2019.05.048)
Pibarot P, Sengupta P & Chandrashekhar Y. Imaging is the cornerstone of the management of aortic valve stenosis. JACC: Cardiovascular Imaging 2019 220–223. https://doi.org/10.1016/j.jcmg.2018.12.001)
Pawade T, Sheth T, Guzzetti E, Dweck MR & Clavel MA. Why and how to measure aortic valve calcification in patients with aortic stenosis. JACC: Cardiovascular Imaging 2019 1835–1848. https://doi.org/10.1016/j.jcmg.2019.01.045)
Jain P & Fabbro M 2nd. ACC Expert Consensus Decision pathway on the management of mitral regurgitation: a review of the 2017 document for the cardiac anesthesiologist. Journal of Cardiothoracic and Vascular Anesthesia 2019 274–289. https://doi.org/10.1053/j.jvca.2018.07.029)
Pibarot P, Delgado V & Bax JJ. MITRA FR vs. COAPT: lessons from two trials with diametrically opposed results. European Heart Journal: Cardiovascular Imaging 2019 620–624. https://doi.org/10.1093/ehjci/jez073)
Bertaina M, Galluzzo A, D’Ascenzo F, Conrotto F, Grosso Marra W, Frea S, Alunni G, Crimi G, Moretti C, Montefusco A, et al. Prognostic impact of MitraClip in patients with left ventricular dysfunction and functional mitral valve regurgitation: a comprehensive meta-analysis of RCTs and adjusted observational studies. International Journal of Cardiology 2019 70–76. https://doi.org/10.1016/j.ijcard.2019.05.015)
De Rosa R, Silverio A, Baldi C, Di Maio M, Prota C, Radano I, Rey J, Herrmann E, Citro R, Piscione F, et al. Transcatheter repair of functional mitral regurgitation in heart failure patients–a meta-analysis of 23 studies on MitraClip implantation. Circulation Journal 2018 2800–2810. https://doi.org/10.1253/circj.CJ-18-0571)
Giannini C, D’Ascenzo F, Fiorelli F, Spontoni P, Swaans MJ, Velazquez EJ, Armeni P, Adamo M, De Carlo M & Petronio AS. A meta-analysis of MitraClip combined with medical therapy vs. medical therapy alone for treatment of mitral regurgitation in heart failure patients. ESC Heart Failure 2018 1150–1158. https://doi.org/10.1002/ehf2.12339)
D’Ascenzo F, Moretti C, Marra WG, Montefusco A, Omede P, Taha S, Castagno D, Gaemperli O, Taramasso M, Frea S, et al. Meta-analysis of the usefulness of MitraClip in patients with functional mitral regurgitation. American Journal of Cardiology 2015 325–331. https://doi.org/10.1016/j.amjcard.2015.04.025)
Obadia JF, Messika-Zeitoun D, Leurent G, Iung B, Bonnet G, Piriou N, Lefèvre T, Piot C, Rouleau F, Carrié D, et al. Percutaneous repair or medical treatment for secondary mitral regurgitation. New England Journal of Medicine 2018 2297–2306. https://doi.org/10.1056/NEJMoa1805374)
Stone GW, Lindenfeld J, Abraham WT, Kar S, Lim DS, Mishell JM, Whisenant B, Grayburn PA, Rinaldi M, Kapadia SR, et al. Transcatheter mitral-valve repair in patients with heart failure. New England Journal of Medicine 2018 2307–2318. https://doi.org/10.1056/NEJMoa1806640)
Chambers JB, Prendergast B, Iung B, Rosenhek R, Zamorano JL, Pierard LA, Modine T, Falk V, Kappetein AP, Pibarot P, et al. Standards defining a ‘Heart Valve Centre’: ESC Working Group on valvular heart disease and European Association for cardiothoracic surgery viewpoint. European Heart Journal 2017 2177–2183. https://doi.org/10.1093/eurheartj/ehx370)
David TE, David CM, Tsang W, Lafreniere-Roula M & Manlhiot C. Long-term results of mitral valve repair for regurgitation due to leaflet prolapse. Journal of the American College of Cardiology 2019 1044–1053. https://doi.org/10.1016/j.jacc.2019.06.052)
Gafoor S & Wang DD. Does the idea of percutaneous tricuspid valve replacement need repair? JACC: Cardiovascular Imaging 2019 430–432. https://doi.org/10.1016/j.jcmg.2018.09.013)
Hahn RT & Zamorano JL. The need for a new tricuspid regurgitation grading scheme. European Heart Journal Cardiovascular Imaging 2017 1342–1343. https://doi.org/10.1093/ehjci/jex139)
Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, Dulgheru R, El Khoury G, Erba PA, Iung B, et al. 2015 ESC Guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). European Heart Journal 2015 3075–3128. https://doi.org/10.1093/eurheartj/ehv319)
San S, Ravis E, Tessonier L, Philip M, Cammilleri S, Lavagna F, Norscini G, Arregle F, Martel H, Oliver L, et al. Prognostic value of (18)F-fluorodeoxyglucose positron emission tomography/computed tomography in infective endocarditis. Journal of the American College of Cardiology 2019 1031–1040. https://doi.org/10.1016/j.jacc.2019.06.050)
Cahill TJ, Baddour LM, Habib G, Hoen B, Salaun E, Pettersson GB, Schäfers HJ & Prendergast BD. Challenges in infective endocarditis. Journal of the American College of Cardiology 2017 325–344. https://doi.org/10.1016/j.jacc.2016.10.066)
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This review did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.
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This paper is part of a series on specialist valve clinics. The Guest Editors for this series were Richard P Steeds and John B Chambers
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Donal, E., Galli, E., Anselmi, A. et al. The central role of the cardiac imager in heart valve disease. Echo Res Pract 6, T15–T21 (2019). https://doi.org/10.1530/ERP-19-0046
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DOI: https://doi.org/10.1530/ERP-19-0046