ASE Publishes Updated Guideline for Evaluating PHVs


Contact: Angie Porter

ASE Publishes Updated Guideline for Evaluating Prosthetic Heart Valves

The guideline focuses on the use of echocardiography and multimodality imaging in evaluating patients with significant cardiac valvular disease

(DURHAM, NC, January 8, 2024)—A new guideline from the American Society of Echocardiography (ASE) aims to provide clinicians with a comprehensive resource for evaluating prosthetic heart valves (PHVs). Guidelines for the Evaluation of Prosthetic Valve Function with Cardiovascular Imaging: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovascular Computed Tomography replaces the Society’s original guideline published in 2009.

While many principles and recommendations detailed in ASE’s original guideline on PHVs are still current and valid, the document was published prior to several important developments, including the function of percutaneous valves, the use of three-dimensional (3D) echocardiography, and the role of computed tomography (CT) and cardiac magnetic resonance (CMR) in the evaluation of PHVs.

“This new guideline on prosthetic valves was very much needed, as the field has changed so much since 2009, with the introduction of percutaneous valves and improvements in 3D echocardiography and multimodality imaging,” says Chair of the Guideline Writing Group Dr. William A. Zoghbi, Professor and Chairman of the Department of Cardiology at Houston Methodist Hospital in Texas. “It provides clinicians with a roadmap for evaluating PHVs, while aiming to improve patient care and outcomes in the field.”

Dr. Pei-Ni Jone, Co-Chair of the Guideline Writing Group and Director of the Echocardiography Laboratory at the Heart Center, as well as an Attending Physician in Cardiology at Ann & Robert H. Lurie Children’s Hospital of Chicago, adds, “The new guideline provides the clinician with much-needed information on how to evaluate PHVs with cardiac ultrasound, particularly with the added value of 3D echocardiography, and when to use further imaging with cardiac CT or CMR.”

Echocardiography is the first-line modality used to assess prosthetic valve function in patients with significant cardiac valvular disease. However, recent advances in CT and CMR have enhanced their roles in evaluating valvular heart disease. This new guideline offers guidance on which imaging modality can be most helpful for each respective valve and includes the newest valves available.

Additionally, the guideline consolidates critical information gleaned from imaging into tables and key points, while also offering a review of the echocardiographic techniques used and providing recommendations and general guidelines for evaluating prosthetic valve structure, function and regurgitation.

The new guideline is published in the January 2024 issue of the Journal of the American Society of Echocardiography. All guidelines published by ASE are available at

About American Society of Echocardiography
The American Society of Echocardiography (ASE) is the Society for Cardiovascular Ultrasound Professionals™. ASE is the largest global organization for cardiovascular ultrasound imaging serving physicians, sonographers, nurses, veterinarians, and scientists and as such is the leader and advocate, setting practice standards and guidelines for the field. The Society is committed to advancing cardiovascular ultrasound to improve lives. For more information, visit the ASE website or social media pages on Facebook, X, LinkedIn, or Instagram.



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