Valvular heart disease

Diagnosis and management

Kameswari Maganti, Vera H. Rigolin, Maurice E Sarano, Robert O. Bonow

Research output: Contribution to journalArticle

122 Citations (Scopus)

Abstract

Valvular heart disease (VHD) encompasses a number of common cardiovascular conditions that account for 10% to 20% of all cardiac surgical procedures in the United States. A better understanding of the natural history coupled with the major advances in diagnostic imaging, interventional cardiology, and surgical approaches have resulted in accurate diagnosis and appropriate selection of patients for therapeutic interventions. A thorough understanding of the various valvular disorders is important to aid in the management of patients with VHD. Appropriate work-up for patients with VHD includes a thorough history for evaluation of causes and symptoms, accurate assessment of the severity of the valvular abnormality by examination, appropriate diagnostic testing, and accurate quantification of the severity of valve dysfunction and therapeutic interventions, if necessary. It is also important to understand the role of the therapeutic interventions vs the natural history of the disease in the assessment of outcomes. Prophylaxis for infective endocarditis is no longer recommended unless the patient has a history of endocarditis or a prosthetic valve.

Original languageEnglish (US)
Pages (from-to)483-500
Number of pages18
JournalMayo Clinic Proceedings
Volume85
Issue number5
DOIs
StatePublished - 2010

Fingerprint

Heart Valve Diseases
Disease Management
Endocarditis
Cardiac Surgical Procedures
Symptom Assessment
Diagnostic Imaging
Cardiology
Natural History
Patient Selection
Therapeutics
History
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Valvular heart disease : Diagnosis and management. / Maganti, Kameswari; Rigolin, Vera H.; Sarano, Maurice E; Bonow, Robert O.

In: Mayo Clinic Proceedings, Vol. 85, No. 5, 2010, p. 483-500.

Research output: Contribution to journalArticle

Maganti, Kameswari ; Rigolin, Vera H. ; Sarano, Maurice E ; Bonow, Robert O. / Valvular heart disease : Diagnosis and management. In: Mayo Clinic Proceedings. 2010 ; Vol. 85, No. 5. pp. 483-500.
@article{a0d33aa2700f4571a2afa137b162832b,
title = "Valvular heart disease: Diagnosis and management",
abstract = "Valvular heart disease (VHD) encompasses a number of common cardiovascular conditions that account for 10{\%} to 20{\%} of all cardiac surgical procedures in the United States. A better understanding of the natural history coupled with the major advances in diagnostic imaging, interventional cardiology, and surgical approaches have resulted in accurate diagnosis and appropriate selection of patients for therapeutic interventions. A thorough understanding of the various valvular disorders is important to aid in the management of patients with VHD. Appropriate work-up for patients with VHD includes a thorough history for evaluation of causes and symptoms, accurate assessment of the severity of the valvular abnormality by examination, appropriate diagnostic testing, and accurate quantification of the severity of valve dysfunction and therapeutic interventions, if necessary. It is also important to understand the role of the therapeutic interventions vs the natural history of the disease in the assessment of outcomes. Prophylaxis for infective endocarditis is no longer recommended unless the patient has a history of endocarditis or a prosthetic valve.",
author = "Kameswari Maganti and Rigolin, {Vera H.} and Sarano, {Maurice E} and Bonow, {Robert O.}",
year = "2010",
doi = "10.4065/mcp.2009.0706",
language = "English (US)",
volume = "85",
pages = "483--500",
journal = "Mayo Clinic Proceedings",
issn = "0025-6196",
publisher = "Elsevier Science",
number = "5",

}

TY - JOUR

T1 - Valvular heart disease

T2 - Diagnosis and management

AU - Maganti, Kameswari

AU - Rigolin, Vera H.

AU - Sarano, Maurice E

AU - Bonow, Robert O.

PY - 2010

Y1 - 2010

N2 - Valvular heart disease (VHD) encompasses a number of common cardiovascular conditions that account for 10% to 20% of all cardiac surgical procedures in the United States. A better understanding of the natural history coupled with the major advances in diagnostic imaging, interventional cardiology, and surgical approaches have resulted in accurate diagnosis and appropriate selection of patients for therapeutic interventions. A thorough understanding of the various valvular disorders is important to aid in the management of patients with VHD. Appropriate work-up for patients with VHD includes a thorough history for evaluation of causes and symptoms, accurate assessment of the severity of the valvular abnormality by examination, appropriate diagnostic testing, and accurate quantification of the severity of valve dysfunction and therapeutic interventions, if necessary. It is also important to understand the role of the therapeutic interventions vs the natural history of the disease in the assessment of outcomes. Prophylaxis for infective endocarditis is no longer recommended unless the patient has a history of endocarditis or a prosthetic valve.

AB - Valvular heart disease (VHD) encompasses a number of common cardiovascular conditions that account for 10% to 20% of all cardiac surgical procedures in the United States. A better understanding of the natural history coupled with the major advances in diagnostic imaging, interventional cardiology, and surgical approaches have resulted in accurate diagnosis and appropriate selection of patients for therapeutic interventions. A thorough understanding of the various valvular disorders is important to aid in the management of patients with VHD. Appropriate work-up for patients with VHD includes a thorough history for evaluation of causes and symptoms, accurate assessment of the severity of the valvular abnormality by examination, appropriate diagnostic testing, and accurate quantification of the severity of valve dysfunction and therapeutic interventions, if necessary. It is also important to understand the role of the therapeutic interventions vs the natural history of the disease in the assessment of outcomes. Prophylaxis for infective endocarditis is no longer recommended unless the patient has a history of endocarditis or a prosthetic valve.

UR - http://www.scopus.com/inward/record.url?scp=77951820306&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77951820306&partnerID=8YFLogxK

U2 - 10.4065/mcp.2009.0706

DO - 10.4065/mcp.2009.0706

M3 - Article

VL - 85

SP - 483

EP - 500

JO - Mayo Clinic Proceedings

JF - Mayo Clinic Proceedings

SN - 0025-6196

IS - 5

ER -