New 2025 ESC/EACTS Guidelines for the management of valvular heart disease published
New clinical guidelines, published today, give clinicians across Europe and worldwide clear recommendations they can trust to help them provide the best care and treatment for patients. The guidelines have been developed by a multidisciplinary team of experts to reach consensus. The international panel of experts reviewed new research findings, including data from randomised controlled trials, to help reach their conclusions.
Some of the key recommendations include:
- A change in the age cut-off, from 75 to 70 years, in favour of TAVI for patients with tricuspid aortic valve stenosis.
- Surgery remains the preferred choice for patients with primary mitral regurgitation.
- A new class IIa recommendation for surgery and a class IIb recommendation for transcatheter procedures for patients with atrial secondary mitral regurgitation.
- A new class I recommendation for mitral valve repair surgery in patients with asymptomatic primary mitral regurgitation, who meet certain diagnostic criteria.
Professor Michael Borger, EACTS appointed co-chair of the joint ESC/EACTS Task Force, said: “These guidelines are of global significance for everyone working in the field of valvular heart disease. The Task Force, which included both surgeons and cardiologists, has worked together closely over the past two years using the latest data available to develop these recommendations to support Heart Teams everywhere. These guidelines demonstrate the importance of collaboration between cardiologists and surgeons for the benefit of patients. I highly recommend these guidelines to Heart Teams in Europe and across the world to support your clinical decision making.”
Today, 29 August at 6 pm CET, we’re hosting a special webinar to present and discuss the new guideline recommendations, including their practical application through case-based presentations. The conversation will continue at the 39th EACTS Annual Meeting in Copenhagen, 8–11 October 2025, with more presentations and interactive sessions.