A recent study revealed that

Graphic visualizing a total of 43% of patients with a likely indication for AVR were not referred to a valve specialist and did not receive AVR

of patients with a likely indication for AVR were not referred to a valve specialist and did not receive AVR1

Looking for the latest updates on the 2020 ACC/AHA Guidelines? Take a look at some highlights.

The guidelines highlight the importance of shared decision-making

"For patients with VHD for whom intervention is contemplated, individual risks should be calculated for specific surgical and/or transcatheter procedures, using online tools when available, and discussed before the procedure as a part of a shared decision-making process"5

– The 2020 ACC/AHA Guidelines

Icon of two hands holding up a heart emphasizing the importance of collaboration between the Heart Valve Team and primary cardiologists

Engagement between the Heart Valve Team and the primary cardiologist is of critical importance5

Icon of 3 people representing HCPs in a multidisciplinary heart valve team

Patients with severe aortic stenosis (SAS), also known as heart valve failure, should be evaluated by a multidisciplinary Heart Valve Team when intervention is considered5

Icon of a heart representing ACC/AHA guidelines for AVR

AVR is recommended for patients with symptomatic SAS aged 65-805

Additionally, there is a class I recommendation for AVR in SAS and exertional symptoms, or with reduced LVEF, or if undergoing other cardiac surgery5

Referring to a Heart Valve Team and engaging in shared decision-making does not result in delayed treatment—it ensures your patients' individual needs are thoroughly considered.2,6,7

Peer Perspectives:

Doctor and patient conversations—partnering with a Heart Valve Team sooner

“For me, I want my heart valve failure patients to get to the heart [valve] team as soon as possible.”

JaNaé Richard, MD
General Cardiologist

“Collaboration is definitely the key when you have multiple providers and specialties involved in the continuity of the care of the patient.”

Danielle Kelley, APRN, FNP-BC
Primary Care Nurse Practitioner (PCNP)


Prompt referral to a Heart Valve Team is critical to better patient outcomes.2

References: 1.Flannery L, Etiwy M, Camacho A, et al. Patient- and process-related contributors to the underuse of aortic valve replacement and subsequent mortality in ambulatory patients with severe aortic stenosis. J Am Heart Assoc. 2022;11(11):e025065. 2.Lancellotti P, Magne J, Dulgheru R, et al. Outcomes of patients with asymptomatic aortic stenosis followed up in heart valve clinics. JAMA Cardiol. 2018;3(11):1060-1068. 3.Redfors B, Pibarot P, Gillam LD, et al. Stress testing in asymptomatic aortic stenosis. Circulation. 2017;135(20):1956-1976. 4.Otto CM. Mind the gap: missed valve disease diagnosis. Heart. 2018;104(22):1810-1811. 5.Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: Executive summary: A report of the American College of Cardiology/American Heart Association joint committee on clinical practice guidelines. Circulation. 2021;143(5):e72-e227. 6.Coylewright M, O'Neill E, Sherman A, et al. The learning curve for shared decision-making in symptomatic aortic stenosis. JAMA Cardiol. 2020;5(4):442-448. 7.Nkomo VT, Gardin JM, Skelton TN, et al. Burden of valvular heart diseases: a population-based study. Lancet. 2006;368(9540):1005-1011.

Patients and/or clinicians quoted on this website have received compensation from Edwards Lifesciences.