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TheguidelinerecommendsacombinationoflifestylemodificationsandmedicationsthatconstitutecomponentsofGDMTAAThefieldofvalvularandstructural heartdiseaseisrapidlyevolvingandwitnessingunprecedentedadvancesindiagnosticmodalitiesaswellastranscatheterandsurgicaltherapies.Adult: ValvesACC/AHADiseasestagesinpatientswithvalvularheartdiseaseshouldbeclassified(StagesA,B,C,andD)onthebasisofsymptoms,valveanatomy,the severityofvalvedysfunction,HeartFailureandCardiomyopathies;Hypertriglyceridemia;InvasiveCardiovascularAngiographyandIntervention;Noninvasive Imaging;PericardialDisease;Prevention;Diseasestagesinpatientswithvalvularheartdis-easeshouldbeclassified(StagesA,B,C,andD)onthebasisof symptoms,valveanatomy,theseverityofvalvedysfunction,andtheresponseoftheventricleandpulmonarycirculationIntheevaluationofapatientwithvalvular heartdisease,historyandphysicalexaminationfindingsTopTake-HomeMessagesThispresentguidelinewillreplaceboththeVHDguidelinesandfocusedupdate Similartopriorguidelines,theguidelinesprovidedforaclassrecommendationforAVRinpatientswithseveresymptomaticlow-flowASwithareducedejection fractionandseveresymptomaticlow-flowASwithanormalejectionfrac-tion(ifASisthemostlikelycauseofthesymptoms).6,15Inasymptomaticpatients,the guidelinesprovidedJACCJournals›JACC›Archives›VolNoPreviousNextHeartFailureandCardiomyopathies;InvasiveCardiovascularAngiographyand Intervention;NoninvasiveImaging;PericardialDisease;Prevention;PulmonaryHypertensionandVenousThromboembolism;SportsandExerciseCardiology; StableIschemicHeartDisease;ValvularHeartDisease;VascularMedicineTheGuidelinefortheManagementofPatientswithValvularHeartDiseasefocuseson thediagnosisandmanagementofadultpatientswithvalvularheartdisease(VHD)DivyanshuMohananey,MD,MSc*,MichaelACC/AHAguidelineforthe managementofpatientswithvalvularheartdiseaseTheJournalofThoracicandCardiovascularSurgeryDiseasestagesinpatientswithvalvularheartdisease shouldbeclassified(StagesA,B,C,andD)onthebasisofsymptoms,valveanatomy,theseverityofvalvedysfunction,andtheresponseoftheventricleand pulmonarycirculationTheACC/AHAJointCommitteeonClinicalPracticeGuidelineshascommissionedthisguidelinetofocusonthediagnosisandmanagement ofadultpatientswithvalvularheartdisease(VHD)TheACC/AHAJointCommitteeonClinicalPracticeGuidelineshascommissionedthisguidelinetofocuson thediagnosisandmanagementofadultpatientswithvalvularTheGuidelinefortheManagementofPatientswithValvularHeartDiseasefocusesonthediagnosis andmanagementofadultpatientswithvalvularheartdisease(VHD)Asareflectionofthiswaveofchange,thecurrentAmericanCollegeofCardiology (ACC)/AmericanHeartAssociation(AHA)guidelinefortheManagementofPatientsACC/AHAGuidelinefortheManagementofPatientsWithValvularHeart Disease:AReportoftheAmericanCollegeofCardiology/AmericanHeartAssociationJointTheACC/AHAGuidelinesforManagementofPatientsWithValvular HeartDisease:HighlightsandPerioperativeImplications.Asareflectionofthiswaveofchange,thecurrentAmericanCollegeofCardiology(ACC)/American HeartAssociation(AHA)guidelinefortheManagementACC/AHAGuidelinefortheManagementofPatientsWithValvularHeartDisease:AReportofthe AmericanCollegeofCardiology/AmericanHeartAssociationJointCommitteeonClinicalPracticeGuidelinesJournaloftheAmericanCollegeofCardiology