| Updated Topics in the 2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease |
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Jeong Yoon Jang1, Jeong Rang Park2 |
1Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, Korea
2Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea |
| 판막질환의 최신 진료지침: 2025 유럽심장학회 가이드라인 |
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장정윤1, 박정랑2 |
1경상국립대학교 의과대학 창원경상국립대학교병원 순환기내과
2경상국립대학교 의과대학 경상국립대학교병원 순환기내과 |
Correspondence:
Jeong Rang Park, Tel: +82-55-750-8058, Fax: +82-55-755-9078, Email: parkjrang@gmail.com
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Received: 29 December 2025 • Revised: 1 April 2026 • Accepted: 7 June 2026 |
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| Abstract |
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The 2025 ESC/EACTS guidelines for the management of valvular heart disease will incorporate new clinical and randomized evidence published in 2021, resulting in major updates in diagnosis and treatment. The revised guidelines reinforce multidisciplinary heart-teambased, patient-centered decision-making and recommend the referral of complex cases to experienced, high-volume centers. Advanced multimodal imaging, including three-dimensional echocardiography, cardiac computed tomography, and cardiac magnetic resonance imaging, is emphasized for an accurate mechanistic assessment and procedural planning. In cases of severe aortic stenosis, evidence supports earlier intervention, irrespective of symptoms or left ventricular function, with refined criteria for selecting transcatheter aortic valve implantation versus surgery based on age, anatomy, procedural risk, and lifetime management. New data have expanded the role of transcatheter aortic valve implantation in low-risk patients and selected bicuspid or aortic regurgitation cases. The updated recommendations also address mitral and tricuspid valve disease, anticoagulation, mixed valve pathology, structural valve deterioration, and sex-specific considerations, providing practical guidance for individualized care. This review article focuses on the new, revised recommendations. |
| Key Words:
Practice guidelines; Heart valve disease; Aortic valve disease; Transcatheter aortic valve replacement; Multimodal imaging |
| 주제어:
임상 진료지침; 심장판막질환; 대동맥판막질환; 경피적 대동맥판막 치환술; 다중 양식 영상 진단 |
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