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Decision Making in Valve Replacement: TAVR vs SAVR

This CME-certified publication reviews evidence- and guideline-based valve replacement strategies for patients with valvular aortic stenosis.

Available credits: 0.75

Time to complete: 45 minutes


Valid until:

If you’ve already completed the activity.

  • Overview

    CME Information

    J. Kevin Harrison, MD
    Professor of Medicine
    Interventional Director, Duke Center for Structural Heart Disease
    Duke University Health System
    Durham, NC

    Activity Planners
    Julie Blum, PhD
    Clinical Content Manager
    Baltimore, MD

    Rebecca L. Julian, MS, ELS
    Senior Managing Editor
    Baltimore, MD

    Amy Sison
    Director of Continuing Medical Education
    Baltimore, MD

    Anne Jacobson, MPH
    Port St. John, FL

    Activity Overview
    This activity discusses valve replacement strategies, including guideline recommendations, risks, and benefits of such strategies in cardiac patients. 

    Learning Objectives
    Upon completion, participants should be able to:

    • Describe the differences in general criteria for TAVR and SAVR
    • Understand the risks and benefits of available devices and how using these devices compares with standard medical therapy

    Target Audience
    This activity is intended for cardiologists.

    Statement of Need
    Valvular aortic stenosis (AS) is a progressive disease caused by calcification of the aortic valve, with underlying pathophysiologic processes similar to those of atherosclerosis. The prevalence of moderate or severe AS increases with advancing age and currently affects approximately 3% of individuals aged 75 years or older. Although asymptomatic AS does not increase the risk of death, patient prognosis deteriorates substantially once the disease becomes symptomatic. In this activity, recent clinical trial evidence and updated guidelines are presented to ensure that clinicians are making proper treatment decisions for their patients who are in need of valve replacement.

    Providership Statement
    Co-provided by Med-IQ® and the Duke University Health System Department of Clinical Education and Professional Development.


    Accreditation/Designation Statements
    Med-IQ is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Med-IQ designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

    Others: Nurse practitioners, physician assistants, and other healthcare professionals who successfully complete the activity will receive a Statement of Participation indicating the maximum credits available.

    Medium/Method of Participation
    This CME activity consists of a 0.75-credit online publication. To receive credit, read the introductory CME material, read the publication, and complete the evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.

    Original Release Date: October 31, 2014
    Rerelease Date: February 28, 2017
    Expiration Date: February 27, 2018
    Estimated Time to Complete This Activity: 45 minutes

    The evaluation, attestation, and post-test may be accessed by clicking the “Take Post-Test” tab above.

    Disclosure Policy
    Med-IQ requires any person in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as those in any amount occurring within the past 12 months, including those of a spouse/life partner, that could create a conflict of interest (COI). Individuals who refuse to disclose will not be permitted to contribute to this CME activity in any way. Med-IQ has policies in place that will identify and resolve COIs prior to this educational activity. Med-IQ also requires faculty to disclose discussions of investigational products or unlabeled/unapproved uses of drugs or devices regulated by the US Food and Drug Administration.

    Disclosure Statement
    The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation.

    J. Kevin Harrison, MD, has indicated no real or apparent conflicts.  

    The writer, activity planners, and peer reviewers have no financial relationships to disclose.

    Statement of Evidence-Based Content
    Educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently are consistent with the ACCME definition of continuing medical education (CME). As an ACCME-accredited provider of CME, it is the policy of Med-IQ to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Med-IQ is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.

    Med-IQ is not liable for any decision made or action taken in reliance upon the information provided through this activity.

    Contact Information
    For CME-related questions or comments about this activity, please contact Med-IQ. Call (toll-free) 866 858 7434 or e-mail

    Hardware/Software Requirements
    ReachMD requires a computer, tablet or mobile device and a connection to the Internet. For best results, a high-speed Internet connection is recommended (DSL/cable). We also recommend using the latest version of your favorite browser to ensure compliance with W3C standards, such as Internet Explorer, Microsoft Edge, Chrome, Firefox or Safari. Users accustomed to IE8/IE9/IE10 are advised to update their browsers for the best experience.

    Microsoft Internet Explorer 11.0 or later
    Mozilla Firefox - latest version
    Google Chrome - latest version
    Apple Safari - latest version

    PDF Viewer
    Adobe Acrobat Reader® or Adobe Reader

    Adobe Flash Player
    Adobe Flash Player 9 or later

    For technical support, go to 

    ADA Statement
    Med-IQ fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact Med-IQ at 443 543 5200.

    The information provided through this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

    Privacy Policy

    © 2017 Duke University Health System and Med-IQ®. All rights reserved.

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