Practice Variation Among Canadian Pediatric Cardiologists in Medical Management of Dilated Ascending Aorta in Patients With Bicuspid Aortic Valve.

ABSTRACT:

Background

Medical therapy is often prescribed to reduce the rate of aortic dilatation and prevent aortic dissection in patients with bicuspid aortic valve (BAV) despite a lack of evidence. We conducted an anonymous survey to gain insight into Canadian clinical practice regarding medical therapy used to slow the progression of aortic dilatation in patients with BAV.

Methods

A questionnaire was sent to 115 paediatric cardiologists and 18 adult congenital heart disease specialists in Canada.

Results

Ninety of 113 paediatric cardiologists (80%) completing the questionnaire reported prescribing medication to reduce the rate of aortic dilatation. Some 75% (61/81) of them reported prescribing medications on the basis of aortic size z scores, and 78% (48/61) considere

SUBMITTER: Hussain A 

PROVIDER: S-EPMC7063647 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature