ما هو علاج تضيق الأبهر؟ التدخل على الصمام بتوجيه من تقييم فريق القلب

References

DOI: 10.1093/eurheartj/ehaf194

• SAVR or TAVI are recommended for all remaining candidates for an aortic BHV according to Heart Team assessment.
• It is recommended that the mode of intervention is based on Heart Team assessment of individual clinical, anatomical, and procedural characteristics, incorporating lifetime management considerations and estimated life expectancy.
• No medical therapies have been shown to influence the natural history of AS to date.
• Coexistent hypertension should be treated to avoid additional afterload, preferably using renin-angiotensin system blockers, although careful titration is required to avoid symptomatic hypotension.
• In patients with persisting HF and/or reduced LVEF, medical therapy should be introduced before and up-titrated after valve intervention according to the current HF Guidelines.