Indications for Heart Valve Replacement by Age Group

2017 AHA/ACC Focused Update of Valvular Heart Disease Guideline
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Limits to surgery for aortic valve stenosis

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Shopbop Designer Fashion Brands. There is a new consideration for a lower INR target of 1.

The prior recommendation for use of a vitamin K antagonist after bioprosthetic valve replacement was changed to include both aortic and mitral bioprosthesis, for months after surgery, in patients at low risk for bleeding Class IIa, LOE B-NR. A vitamin K antagonist INR target 2. Bioprosthetic valve thrombosis: Initial treatment with a vitamin K antagonist is reasonable among hemodynamically stable patients with suspected or confirmed bioprosthetic valve thrombosis and no contraindication to anticoagulation Class IIa, LOE C-LD.

Prosthetic valve regurgitation: Transcatheter valve-in-valve is reasonable for severely symptomatic patients with bioprosthetic aortic valve regurgitation judged by the heart valve team to be at high or prohibitive risk for surgery Class IIa, LOE B-NR. Infective endocarditis: Operation without delay may be considered in patients with IE and an indication for surgery who have suffered a stroke, but have no evidence of intracranial hemorrhage or extensive neurological damage Class IIb, LOE B-NR.

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