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“A momentary lapse of opinion”: The reader should be aware of the iatrogenic potential of this publication

2020; Elsevier BV; Volume: 39; Issue: 9 Linguagem: Inglês

10.1016/j.repc.2020.07.008

2174-2030

Rui Campante Teles,

Cardiac Imaging and Diagnostics

Aortic stenosis is the most frequent native valve disease in Europe, and as the elderly population increases, together with the high prevalence of comorbidities and the extension of indications to low-risk patients, the number of individuals requiring transcatheter aortic valve replacement (TAVR) is likely to increase substantially. 1---3 Frailty, dependence and comorbidities affect the lives of some of these patients, raising the question whether the intervention justifies the economic cost.High-quality American and European analyses of TAVR have shown generally acceptable cost-effectiveness, with the higher cost of the procedure being offset by the considerable benefits in quality of life and survival.It is, however, important to examine the specifics at a national level, since large differences have been observed between countries. 4---8 The article by Fontes-Carvalho et al. of the Centro Hospitalar de Vila Nova de Gaia in this issue of the Journal 9 points to the need to assess the cost-effectiveness and economic impact of the adoption of new technologies before their dissemination in clinical practice.In this case the time for this objective has passed, which since these