
ACC/AHA and ESC/EACTS Guidelines for the Management of Valvular Heart Diseases. JACC Guideline Comparison
JACC This Week
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The Role of Prosthesis in Anticoagulation
Both guidelines suggest aspirin 75 to 100 milligrams daily lifelong. The rapid technological advancements of both surgical and transcatheter devices do not allow for a definite recommendation regarding what type of bioposthesis should be implanted. In patients under age of 50 years, according to the previous information, are we going to implant a mechanical valve in anticoagulation since relatively young age? Well, in this case, something is evolving particularly according to the American guidelines - consider the replacement of the orthic valve by a pulmonic autograph.
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