ACC/AHA Guideline Updates
ACC/AHA Guideline Updates
The 2020 ACC/AHA Guideline emphasizes shared decision-making and recommends considering TAVI for symptomatic severe aortic stenosis (AS) patients aged 65–80
The American College of Cardiology (ACC) and the American Heart Association (AHA) released key updates in their recent 2020 guideline for Valvular Heart Disease (VHD), including new guidance for the treatment of symptomatic severe AS and transcatheter valve implantation (TAVI).Download the Pocket Guide
TAVI is more prominently featured in the latest guidelines
When interventions are being considered, patients should be evaluated by a Heart Team (Class 1C-EO)
Engagement between the Heart Team and the primary clinical cardiologist is of critical importance
Recommendations for intervention now focus on age and shared decision-making
For symptomatic severe AS patients 65 to 80 years old, TAVI should be considered, based on shared
All patients with severe valvular heart disease being considered for valve intervention should be evaluated by a multidisciplinary team..."1
2020 ACC/AHA Guideline, Top 10 Take-Home Messages
TAVI is an effective approach to aortic valve replacement in patients 65 to 80 years old.
2020 ACC/AHA Guideline on intervention recommendations by age1
For symptomatic patients with severe AS and no anatomic contraindication to transfemoral TAVI
Indications for TAVI are expanding as a result of multiple randomized trials, including the latest PARTNER trials, which are reflected in these recommendations.
Key factors for considering valve intervention for symptomatic severe AS patients have changed.
The Guideline recognizes the benefits associated with TAVI*, independent of surgical risk.
Shorter hospital stay
Lower risk of transient or permanent atrial fibrilation (AF)
More rapid return to normal activities
Lower risk of major bleed and pain
*When compared to SAVR; SAVR is associated with a lower risk of paravalvular leak, less need for valve reintervention, and permanent pacemaker.
Consider even more patients for a TAVI evaluation. View the 2020 ACC/AHA Guideline Pocket Guide for up-to-date information.Download the Pocket Guide
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References: 1. Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA Guideline for the Management of Patients with Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2020. Epublished DOI: 10.1016/j.jacc.2020.11.018.