TY - JOUR
T1 - Management of acute decompensated valvular heart disease
AU - Lüsebrink, Enzo
AU - Lanz, Hugo
AU - Kellnar, Antonia
AU - Karam, Nicole
AU - Kapadia, Samir
AU - Makkar, Raj
AU - Abraham, William T.
AU - Latib, Azeem
AU - Leon, Martin
AU - Sannino, Anna
AU - Shuvy, Mony
AU - Guerrero, Mayra
AU - Fam, Neil
AU - Butler, Javed
AU - Adamo, Marianna
AU - Rudolph, Volker
AU - Tang, Gilbert H.L.
AU - Stocker, Thomas J.
AU - Rommel, Karl Philipp
AU - Lurz, Philipp
AU - Thiele, Holger
AU - Massberg, Steffen
AU - Praz, Fabien
AU - Prendergast, Bernard
AU - Hausleiter, Jörg
N1 - Publisher Copyright:
© 2024 European Society of Cardiology.
PY - 2024
Y1 - 2024
N2 - Worldwide, valvular heart disease (VHD) is a common cause of hospitalization for acute heart failure. In acute heart failure caused by VHD, symptoms result from rapid haemodynamic changes and subsequent decline in cardiac function, and if left untreated, leads to acute decompensation and cardiogenic shock. Current evidence remains scarce and recommendations regarding the management of acute heart failure caused by VHD are lacking in most recent international guidelines. Herein, we review the management of acute heart failure caused by VHD with a focus on transcatheter therapies and describe currently available evidence based on a systematic literature search on the following valve pathologies: (i) aortic stenosis, (ii) aortic regurgitation, (iii) mitral regurgitation, and (iv) mitral stenosis. Articles reporting outcomes following urgent or emergent valve intervention in the setting of cardiogenic shock or acute heart failure were considered. After screening a total of 2234 articles, 76 published between 1994 and 2023 were included in subsequent analysis. Based on available evidence, proposed treatment algorithms to guide optimal management of acute heart failure caused by VHD were created. As the number of patients presenting with acute heart failure caused by VHD continues to rise and outcomes following transcatheter valve interventions continue to improve, it is inevitable that minimally invasive options will play an increasingly important role in the acute setting, especially given these patients are at an increased operative risk. This review aims to present an organized approach to the complex management and interventional treatment of patients with acute heart failure caused by VHD.
AB - Worldwide, valvular heart disease (VHD) is a common cause of hospitalization for acute heart failure. In acute heart failure caused by VHD, symptoms result from rapid haemodynamic changes and subsequent decline in cardiac function, and if left untreated, leads to acute decompensation and cardiogenic shock. Current evidence remains scarce and recommendations regarding the management of acute heart failure caused by VHD are lacking in most recent international guidelines. Herein, we review the management of acute heart failure caused by VHD with a focus on transcatheter therapies and describe currently available evidence based on a systematic literature search on the following valve pathologies: (i) aortic stenosis, (ii) aortic regurgitation, (iii) mitral regurgitation, and (iv) mitral stenosis. Articles reporting outcomes following urgent or emergent valve intervention in the setting of cardiogenic shock or acute heart failure were considered. After screening a total of 2234 articles, 76 published between 1994 and 2023 were included in subsequent analysis. Based on available evidence, proposed treatment algorithms to guide optimal management of acute heart failure caused by VHD were created. As the number of patients presenting with acute heart failure caused by VHD continues to rise and outcomes following transcatheter valve interventions continue to improve, it is inevitable that minimally invasive options will play an increasingly important role in the acute setting, especially given these patients are at an increased operative risk. This review aims to present an organized approach to the complex management and interventional treatment of patients with acute heart failure caused by VHD.
KW - Acute decompensated heart failure
KW - Valvular heart disease
UR - http://www.scopus.com/inward/record.url?scp=85211609806&partnerID=8YFLogxK
U2 - 10.1002/ejhf.3549
DO - 10.1002/ejhf.3549
M3 - Review article
AN - SCOPUS:85211609806
SN - 1388-9842
JO - European Journal of Heart Failure
JF - European Journal of Heart Failure
ER -