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AQUI
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In summary, the 2014 ACC/AHA recommendations for management of AS provide a new framework for thinking about disease severity and seek to align definitions of severity with recommendations for intervention.
The importance of integration of clinical, anatomic, valvular and ventricular measures in defining disease severity is emphasised and the need for healthcare provider teams with expertise in all aspects of patient management is outlined.
With continued improvements in both the TAVR procedure and in the valves themselves, we will continue to see a gradual shift from surgical to transcatheter valve implantation. However, until further data on valve durability are available, surgical AVR will remain the standard for treatment of severe symptomatic AS in patients with a low surgical risk.
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Desde os anos 90 que eu não via diretrizes tão rebuscadas. Lembram a tabela de classificação de Angina do Braunwald , que foi abandonada.
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