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21 - Valvular Diseases

from Section 4 - Cardiovascular Emergencies

Published online by Cambridge University Press:  02 November 2023

By
Ermias Jirru  and
Elena Kapilovich
Edited by
Kaushal Shah  and
Jarone Lee
Edited in association with
Clark G. Owyang  and
Benjamin Christian Renne
Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

  • Valvular diseases are classified either as obstructing outflow (i.e., stenosis) or inadequately closing/coapting (i.e., regurgitation). Many mild–moderate valve lesions exist in a compensated or well-tolerated state; the tenets of hemodynamic management become particularly important in the severe or acute setting.

Keywords

heartvalvestenosisregurgitationechocardiogram
Type
Chapter
Information
Practical Emergency Resuscitation and Critical Care , pp. 187 - 196
Publisher: Cambridge University Press
Print publication year: 2023

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References

Carabello, BA, Crawford, FA. Valvular heart disease. N Engl J Med 1997;337:32–41.CrossRefGoogle ScholarPubMed
Chandrashekhar, Y, Westaby, S, Narula, J. Mitral stenosis. Lancet 2009;374(9697):1271–1283.CrossRefGoogle ScholarPubMed
Chen, RS, Bivens, MJ, Grossman, SA. Diagnosis and management of valvular heart disease in emergency medicine. Emerg Med Clin North Am 2011;29:801–810, vii.CrossRefGoogle ScholarPubMed
Mokadam, NA, Stout, KK, Verrier, ED. Management of acute regurgitation in left-sided cardiac valves. Tex Heart Inst J 2011;38:9–19.Google ScholarPubMed
Stout, KK, Verrier, ED. Acute valvular regurgitation. Circulation 2009;119:3232–3241.CrossRefGoogle ScholarPubMed

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