How to follow patients with mitral and aortic valve disease

Med Clin North Am. 2015 Jul;99(4):739-57. doi: 10.1016/j.mcna.2015.02.005. Epub 2015 Apr 18.

Abstract

Valvular heart diseases (VHDs) place a hemodynamic load on the left and/or right ventricle that, if severe, prolonged, and untreated, damages the myocardium, leading to heart failure and death. Because all VHDs are mechanical problems, definitive therapy usually requires valve repair or replacement. In most valve disease the onset of symptoms marks a change in disease prognosis and is usually an indication for prompt surgical correction. Echocardiography is an indispensable modality for assessing lesion severity, its effect on cardiac function, and the proper timing for lesion correction. Intervention enhanced with percutaneous options now allows patients to benefit from mechanical correction.

Keywords: Aortic valve; Mitral valve; Myocardium; Valvular heart disease.

Publication types

  • Review

MeSH terms

  • Aortic Valve / physiopathology
  • Aortic Valve / surgery
  • Bicuspid Aortic Valve Disease
  • Cardiovascular Agents / therapeutic use*
  • Echocardiography
  • Heart Defects, Congenital / physiopathology
  • Heart Defects, Congenital / surgery
  • Heart Valve Diseases / drug therapy*
  • Heart Valve Diseases / physiopathology
  • Heart Valve Diseases / surgery*
  • Hemodynamics
  • Humans
  • Physical Examination
  • Prognosis

Substances

  • Cardiovascular Agents