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Prim Care. 2018 Mar;45(1):81-94. doi: 10.1016/j.pop.2017.10.002. Epub 2017 Dec 27.

Valvular Heart Disease.

Author information

1
Department of Medicine, Division of Cardiology, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889, USA.
2
Department of Surgery, Division of and Cardiothoracic Surgery, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889, USA.
3
Department of Surgery, Division of and Cardiothoracic Surgery, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889, USA. Electronic address: philip.s.mullenix.mil@mail.mil.

Abstract

This article outlines the diagnosis and management of commonly occurring valvular heart diseases for the primary care provider. Basic understanding of pathologic murmurs is important for appropriate referral. Echocardiography is the gold standard for diagnosis and severity grading. Patients with progressive valvular heart disease should be followed annually by cardiology and imaging should be performed based on the severity of valvular dysfunction. Surgery or intervention is recommended only when symptoms dictate or when changes in left ventricular function occur. Surgery or intervention should be performed after discussion by a heart team, including cardiologists and cardiac surgeons.

KEYWORDS:

Aortic regurgitation; Aortic stenosis; Mitral regurgitation; Mitral stenosis; Valvular heart disease

PMID:
29406946
DOI:
10.1016/j.pop.2017.10.002
[Indexed for MEDLINE]

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