Diagnosis and management of valvular heart disease in emergency medicine

Emerg Med Clin North Am. 2011 Nov;29(4):801-10, vii. doi: 10.1016/j.emc.2011.08.001.


A popular saying holds that if one can hear a heart murmur in the middle of a loud and busy emergency department, then by definition the murmur is significant. Whether or not this is actually true, it does capture the frustration emergency physicians feel when trying to diagnose or manage valvular pathologic conditions with familiar yet limited tools. This article focuses on the valve-related issues the emergency physician will face, from the trauma patient with a mechanical valve who may need his or her anticoagulation reversed to the febrile patient with a new murmur.

Publication types

  • Review

MeSH terms

  • Antibiotic Prophylaxis
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / therapy
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / therapy
  • Emergency Medicine
  • Endocarditis / diagnosis
  • Endocarditis / therapy
  • Heart Murmurs / diagnosis
  • Heart Murmurs / etiology
  • Heart Valve Diseases / diagnosis*
  • Heart Valve Diseases / therapy*
  • Heart Valve Prosthesis / adverse effects
  • Humans