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NEW! Current Management of Aortic Stenosis: A Guideline-Based Approach
Join Dr. Michael Mack, Medical Director, Cardiothoracic Surgery for Baylor Scott & White and Chairman of BSW The Heart Hospital, Plano Research Center as he discusses current management of Aortic Stenosis. Some of the best practices and solutions discussed in this video include:
The need to facilitate access to care in underserved populations
No follow-up after echo – examples of potential solutions
Evaluation of those with suspected heart disease – specific examples of testing
Clinical decision making – a multi-disciplinary heart team approach
Shared decision making – Who should be included and factors
Treatment decisions – specific algorithm that is guideline based
Testing recommendations after AVR
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Undertreatment of Aortic Stenosis: A Conversation to Understand the Problem and Consider Solutions
Join Dr. Brian Lindman, Dr. Sammy Elmariah and a diverse group of experts from across the country – representing interventional cardiology, echocardiography, surgery and nursing perspectives as they address the undertreatment of patients with aortic stenosis. Some of the best practices and treatments discussed in this video include:
The use of class 1 recommendations for AVR – a guideline-based approach
Team-based care necessity
Increasing accuracy and decreasing variability in echo reports
Categorization based on totality of evidence, not just valve area
Utilizing two sonographers reading report
Specific language in conclusion in summary report in bold
Group review on reads on regular basis to reduce variability
All AVRs should go to Heart Valve Team, including SAVRs, to make sure the choices are discussed
Shared decision making
The need for a structured process to move patient quickly to definitive treatment
Referring patients early and use a team approach within a system
Need for Artificial Intelligence (AI) and digital strategies for patient surveillance
Building relationships through outreach and feedback
Echo reporting techniques
Electronic notification to ordering physician
Highlight guideline recommendations and need for referral
Move to a screening point of care echo based on age
Artificial intelligence (AI) based evaluation of ECGs to identify
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National Introduction to the 91ÊÓƵ's Initiative, Target: Aortic Stenosis™
Join Dr. Clyde Yancy, Northwestern Memorial Hospital an Dr. J. Matthew Brennan, Duke Triangle Heart Associates, as they introduce you to the 91ÊÓƵ’s national initiative, Target: Aortic Stenosis. In this presentation, Dr. Brennan will outline the issues surrounding the Aortic Stenosis patient pathway, including detection and gaps in diagnosis, referral, treatment, public awareness, and disparities in care. Dr. Yancy reviews what the AHA is doing to address these issues with our new pilot program built on the framework of our longstanding and trusted heart and vascular quality programs. Edwards Lifesciences is the national sponsor of 91ÊÓƵ’s Target: Aortic Stenosis. Some of the best practices and treatments discussed in this video include:
Valve Replacement means higher quality of life as well as reducing the cost of care
Need for more public awareness – coordinated nationally and locally
Need to increase accuracy of stethoscope use
Move forward with echocardiogram in patients with unexplained murmurs
Need for routine surveillance
Need multiple doppler views for appropriate severity grading
Evaluate full spectrum of echo criteria when determining severity
Must exercise stress test and use biomarkers for asymptomatic patients
Shared decision making must include effective patient education
Delay in referral directly impacts survival rates
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