Promoting equity Identify and address disparities in outcomes and survival across diverse patient populations Develop novel, cost-effective approaches for long-term management in rural settings Expand access to therapies for valvular dysfunction AF indicates atrial fibrillation; AS, aortic stenosis; AVR, aortic valve replacement; LV, left ventricular; MR, mitral regurgitation; RCT, randomized controlled trial; SAVR, surgical aortic valve replacement; TAVI, transcatheter aortic valve implantation; VHD, valvular heart disease; and VKA, vitamin K antagonist. CLINICAL STATEMENTS AND GUIDELINES ACC/AHA JOINT COMMITTEE MEMBERS Patrick T. O Gara, MD, MACC, FAHA, Chair; Joshua A. Beckman, MD, MS, FAHA, Chair-Elect; Glenn N. Levine, MD, FACC, FAHA, Immediate Past Chair*; Sana M. Al-Khatib, MD, MHS, FACC, FAHA*; Anastasia Arm- bruster, PharmD, AACC; Kim K. Birtcher, PharmD, MS, AACC; Joaquin Ciggaroa, MD, FACC*; Anita Deswal, MD, MPH, FACC, FAHA; Dave L. Dixon, PharmD, FACC; Lee A. Fleisher, MD, FACC, FAHA*; Lisa de las Fuentes, MD, MS, FAHA, FASE; Federico Gentile, MD, FACC*; Zachary D. Goldberger, MD, MSc, FACC, FAHA; Bu- lent Gorenek, MD, FACC, FESC; Norrisa Haynes, MD, MPH; Adrian F. Hernandez, MD, MHS; Mark A. Hlatky, MD, FACC, FAHA*; Jos A. Joglar, MD, FACC, FAHA; W. Schuyler Jones, MD, FACC; Joseph E. Marine, MD, FACC*; Daniel Mark, MD, MPH, FACC, FAHA; Latha Palaniappan, MD, MS, FAHA, FACC; Mariann R. Piano, RN, PhD, FAHA; Erica S. Spatz, MD, MHS, FACC; Jac- queline Tamis-Holland, MD, FACC; Duminda N. Wijey- sundera, MD, PhD*; Y. Joseph Woo, MD, FAHA, FACC PRESIDENTS AND STAFF American College of Cardiology Athena Poppas, MD, FACC, President Cathleen Gates, Chief Executive Officer John S. Rumsfeld, MD, PhD, FACC, Chief Science and Quality Officer MaryAnne Elma, MPH, Senior Director, Science, Education, Quality, and Publishing Grace D. Ronan, Team Lead, Clinical Policy Publications Timothy W. Schutt, MA, Clinical Policy Analyst American College of Cardiology/ American Heart Association Thomas S. D. Getchius, Director, Guideline Strategy and Operations Abdul R. Abdullah, MD, Director, Guideline Science and Methodology Laura Mitchell, Guideline Advisor American Heart Association Mitchell S.V. 