Current risk scores do not provide a reliable estimate of exact operative mortality in an individual patient with VHD. They should therefore be interpreted with caution and only used as part of an integrated approach, which incorporates other patient characteristics, the clinical context, and local outcome data.
Future risk scores should include additional variables, such as cognitive and functional capacity and be prospectively validated in high-risk patients.
Specific risk models should also be developed for newer interventions, such as transcatheter aortic valve implantation.
2012-04-04
Eng.
European heart journal
Department of Cardiology, Medical University of Vienna, Vienna, Austria. raphael.rosenhek [at] meduniwien.ac.at
Eur Heart J. 2012 Apr;33(7):822-8, 828a, 828b
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