Opinions of cardiologists on class II recommendations in current European Society of Cardiology 2018-2020 guidelines: YELLOW BOX

Authors : Mehmet KIŞ, Tuncay GÜZEL, Berkay EKİCİ, Mehdi ZOGHİ

Pages : 506-520

Doi:10.18621/eurj.981861

View : 24 | Download : 12

Publication Date : 2022-07-04

Article Type : Research Paper

Abstract :Objectives: We planned our survey study to evaluate the opinion of cardiologists about the class II recommendations on levels of evidence in the current European Society of Cardiology Guidelines insert ignore into journalissuearticles values(ESC);. Our aim is to determine which diagnosis or treatment option most prefer by cardiologist when guidelines do not make clear recommendations. Methods: The survey was conducted on September 2020 with the participation of cardiologists insert ignore into journalissuearticles values(n = 102);. Our survey covers ESC`s guidelines published in 2018-2020 on diagnosis and treatment strategies in coronary artery disease, diabetes, heart valve disease, arrhythmia, dyslipidemia and heart failure. Our survey consisting of 40 questions was shared with the cardiologists via e-mail. Results: Participants answered all of the survey questions. The majority of the participants insert ignore into journalissuearticles values(79.41%); did not consider the addition of a second long-term antithrombotic medication in addition to aspirin for secondary prevention in diabetes mellitus insert ignore into journalissuearticles values(DM); and coronary artery disease insert ignore into journalissuearticles values(CAD); patients who are not at high risk of bleeding. The lowest low density lipoprotein insert ignore into journalissuearticles values(LDL); value achieved by the participant physicians with treatment in their practices was < 40 mg/dl in 32 insert ignore into journalissuearticles values(31.37%); participants . One of the striking results of the survey was that 51.96% of the participants stated that it was not possible to measure the lipoprotein a insert ignore into journalissuearticles values(Lpinsert ignore into journalissuearticles values(a);); level in the center where they were carrying out their practices, and 34.31% did not consider the Lpinsert ignore into journalissuearticles values(a); level in the treatment of dyslipidemia in terms of directing the treatment. As for patients with asymptomatic Wolff-Parkinson-White insert ignore into journalissuearticles values(WPW); syndrome, 58.82% of the participants considered catheter ablation therapy. Conclusions: Although there were different opinions on some recommendations, the participants were mostly in agreement. We think that these survey results, which were mostly based on expert opinions, may contribute to the guidelines to be published in the future with the increase of survey studies on these issues.
Keywords : ESC guidelines, class II, cardiovascular disease