{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T05:59:41Z","timestamp":1780898381706,"version":"3.54.1"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001516","name":"National Heart Foundation of New Zealand","doi-asserted-by":"publisher","award":["1"],"award-info":[{"award-number":["1"]}],"id":[{"id":"10.13039\/501100001516","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001537","name":"University of Auckland","doi-asserted-by":"publisher","award":["2"],"award-info":[{"award-number":["2"]}],"id":[{"id":"10.13039\/501100001537","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001537","name":"University of Auckland","doi-asserted-by":"publisher","award":["3"],"award-info":[{"award-number":["3"]}],"id":[{"id":"10.13039\/501100001537","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"\n Objective<\/jats:title>\n To understand the factors that influence rheumatic heart disease (RHD) patients' prosthetic heart valve choice, their knowledge of anticoagulation and subsequent experience. This is the first RHD-specific data on valve choice, including high-deprivation populations.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We performed a semi-quantitative, retrospective, cross-sectional survey study using a semi-structured telephone interview of patients (18\u201360 years) with RHD who had undergone valve replacement surgery from 2015 to 2020 at a single centre. Patients shared their experiences with prosthetic heart valves and warfarin.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n 138 patients completed or partially completed the survey from a total sample of 218 patients; mean age was 49\u2009\u00b1\u200910. 133 (61%) of patients had bioprosthetic valves implanted, and 85 (39%) had mechanical valves implanted. Younger and older patients were more likely to have bioprosthetic valves implanted, whereas middle-aged patients were more likely to have mechanical valves implanted. 38 (44%) of bioprosthetic valve patients specified warfarin avoidance, and 31 (62%) of mechanical valve patients specified avoidance of reoperation as their primary reason for choosing their respective valves (from 136 patients). 37 (43%) of bioprosthetic valve patients were informed that the durability of their valves would be at least 10-15 years (from 136 patients). The most helpful information providers regarding valve type were the surgeon and the cardiologist, whereas the GPs and cardiologists were for warfarin management. 64 (47%) had not seen a dentist, and 46 (34%) had not followed up with a cardiologist post-operatively (from 137 patients).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Many young RHD patients receive bioprosthetic valves; surgeons and cardiologists greatly influenced this choice. A uniform evidence-based education programme for health professionals may enhance decision-making around valve choice.<\/jats:p>\n <\/jats:sec>\n \n Key findings<\/jats:title>\n A large proportion of young RHD patients receive bioprosthetic valves, and surgeons and cardiologists greatly influenced this choice. Many patients also do not see a dentist or cardiologist following surgery. A uniform evidence-based education programme for health professionals may enhance decision-making around valve choice, and free dental care and robust follow-up pathways would ensure this vulnerable group of patients is not lost to follow-up.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fcvm.2026.1810992","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T05:33:17Z","timestamp":1780896797000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient perspectives of prosthetic heart valve choice and anticoagulation in patients with rheumatic heart disease: a semi-quantitative study"],"prefix":"10.3389","volume":"13","author":[{"given":"Shownok","family":"Saha","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Medicine, Faculty of Medical and Health Sciences, University of Auckland","place":["Auckland, New Zealand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Gelbart","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Te Whatu Ora Waikato, Waikato Hospital","place":["Hamilton, New Zealand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Pirone","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery, Te Whatu Ora Waikato, Waikato Hospital","place":["Hamilton, New Zealand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"McCormack","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Faculty of Medical and Health Sciences, University of Auckland","place":["Auckland, New Zealand"]},{"name":"Cardiothoracic Surgery, Te Whatu Ora Waikato, Waikato Hospital","place":["Hamilton, New Zealand"]},{"name":"School of Health Sciences, University of Waikato","place":["Hamilton, New Zealand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishith N.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Faculty of Medical and Health Sciences, University of Auckland","place":["Auckland, New Zealand"]},{"name":"Cardiothoracic Surgery, Te Whatu Ora Waikato, Waikato Hospital","place":["Hamilton, New Zealand"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e002253","DOI":"10.1136\/openhrt-2023-002253","article-title":"High burden of rheumatic heart disease confirmed by echocardiography among Pacific adults living in New Zealand","volume":"10","author":"Webb","year":"2023","journal-title":"Open Heart"},{"key":"B2","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.gheart.2013.08.010","article-title":"Priorities in cardiac surgery for rheumatic 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