Valvular Heart DiseaseDisease of the heart valves is increasingly common and frequently requires treatment, usually a combination of drug therapy and surgery to repair or replace the valve. The majority of valvular heart disease occurs in older people, and is due to degenerative disease of the valve tissue. Understanding how to diagnose, investigate and manage patients with valvular heart disease is a core skill for a wide range of doctors, including cardiologists, cardiac surgeons, general physicians, general surgeons and anaesthetists. Valvular heart disease can also occur in younger patients and can be particularly challenging to diagnose and treat in pregnant women. New advances in cardiology mean a range of valvular heart disease can be treated with percutaneous procedures avoiding the need for full cardiac surgery. This unique text covers all aspects of valvular heart disease, including normal valve anatomy and physiology, pathophysiology, modes of investigation, assessment and treatment of specific valve lesions, valve surgery (both medical and surgical aspects), treatment in pregnancy or during non-cardiac surgery, and the devastating complication of infective endocarditis, in an easy-to-read, accessible format. It contains over 150 high quality pictures and illustrations, providing contemporary diagnostic imaging (including conventional radiography, echocardiography and magnetic resonance imaging) to demonstrate the importance of imaging in diagnosis and treatment. Individual valve lesions are reviewed in turn with specific indications for intervention in line with current European guidelines. The handbook complements the curriculum for specialist training in the UK, and is relevant to candidtaes in preparation for accreditation with the British Society of Echocardiography. |
Contents
1 Introduction to valvular heart disease | 1 |
2 Assessment of valvular heart disease | 41 |
3 General management | 87 |
4 Aortic stenosis | 97 |
5 Aortic regurgitation | 127 |
6 Mitral stenosis | 149 |
7 Mitral regurgitation | 175 |
8 Tricuspid stenosis | 207 |
11 Pulmonary regurgitation | 247 |
12 Surgery and prosthetic valves | 261 |
13 Percutaneous valve therapy | 303 |
14 Management during noncardiac surgery | 317 |
15 Valvular heart disease in pregnancy | 329 |
16 Infective endocarditis | 343 |
further reading | 390 |
393 | |
Other editions - View all
Valvular Heart Disease Nikant Sabharwal,James Newton,Bernard Prendergast,Saul G. Myerson,Stephen Westaby No preview available - 2011 |
Common terms and phrases
abnormalities Aetiology annular annuloplasty annulus anticoagulation aorta aortic regurgitation aortic root aortic stenosis aortic valve associated Asymptomatic patients atrial fibrillation atrium balloon valvuloplasty bicuspid Bioprosthetic calcification cardiac chordae Clinical signs complications congenital diagnosis diastolic dilation Echocardiographic assessment echocardiography ejection fraction embolism flow gradient haemodynamic hand panel heart failure heparin high risk imaging implantation increased infarction infective endocarditis intentionally left blank ischaemic left atrial LV function LVOT measurement medical therapy mitral regurgitation mitral stenosis mitral valve murmur non-cardiac surgery normal orifice area papillary muscle parasternal percutaneous pregnancy procedure prolapse prosthesis prosthetic valve pulmonary arterial pulmonary hypertension pulmonary valve reduce rheumatic septal significant stroke volume symptoms systolic transoesophageal echocardiography transthoracic echocardiography treatment tricuspid valve usually valve anatomy valve area valve disease valve leaflets valve lesion valve repair valve replacement valve surgery valve thrombosis valvular heart disease vegetations vena venous ventricle ventricular