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[Current standard in diagnosis and therapy of heart valve lesions]

S Reith1, H Körtke, O Volk

  • 1Medizinische Klinik I, Klinikum Krefeld, Lutherplatz 40, 47805, Krefeld, Germany, sereith@gmx.de.

Zeitschrift Fur Kardiologie
|January 22, 2014
PubMed

Insights

This survey reviews current standards for diagnosing and treating common heart valve lesions. Etiology has shifted from rheumatic to age-dependent degenerative causes over 50 years.

Area of Science:

  • Cardiology
  • Valvular Heart Disease
  • Clinical Diagnosis

Context:

  • Over the past 50 years, a significant shift in the etiology of heart valve lesions has been observed.
  • The prevalence of age-dependent degenerative valve diseases has increased, surpassing rheumatic causes.
  • Current diagnostic and therapeutic standards for frequent heart valve lesions are presented.

Purpose:

  • To provide a comprehensive overview of the current standards in diagnosis and therapy for common heart valve lesions.
  • To highlight the changing etiology of valve diseases, emphasizing the rise of degenerative causes.
  • To outline the objectives of diagnostic evaluation, including clinical and hemodynamic grading, identification of comorbidities, and surgical timing.

Summary:

  • The study surveys current diagnostic and therapeutic approaches for prevalent heart valve lesions.
  • It notes a significant etiological shift over 50 years, with degenerative diseases now more common than rheumatic ones.
  • Key diagnostic aims include assessing severity, identifying coexisting conditions, and optimizing surgical timing.

Impact:

  • Informs clinicians about the evolving landscape of heart valve disease etiology.
  • Provides a framework for accurate diagnosis and timely intervention in valvular heart disease.
  • Facilitates better patient management through optimized surgical timing and consideration of comorbidities.

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