A New Benchmark for Modern Management of Valvular Heart Disease: The Whole-Life Cycle Management System

Yuqiang Wang1, Tingqian Cao2, Xiang Liu3

  • 1Department of Cardiovascular Surgery and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China; Cardiovascular Surgery Research Laboratory, West China Hospital, Sichuan University, Chengdu, China.

JACC. Asia
|April 9, 2025
PubMed

Insights

Valvular heart disease (VHD) affects millions globally, with significant gaps in care, especially in low-income countries. A new whole-life cycle management system aims to improve survival outcomes for VHD patients.

Area of Science:

  • Cardiology
  • Public Health
  • Health Systems Research

Background:

  • Valvular heart disease (VHD) prevalence is rising globally, straining healthcare systems.
  • Despite advances, VHD diagnosis, treatment, and follow-up rates are low, particularly in low- and middle-income countries.
  • Existing care models inadequately address elderly patients, those with comorbidities, and postoperative VHD management, leading to poor outcomes.

Purpose of the Study:

  • To review deficiencies in the Chinese healthcare system for treating valvular heart disease.
  • To introduce and discuss the whole-life cycle management system for VHD patients.

Main Methods:

  • Literature review on VHD prevalence, management, and treatment gaps.
  • Analysis of VHD care within the Chinese healthcare system.
  • Description of the whole-life cycle management system for VHD.

Main Results:

  • Significant disparities exist in VHD detection, intervention, and follow-up rates globally and within China.
  • Current management strategies are insufficient for specific patient groups, increasing mortality and morbidity.
  • The whole-life cycle management system is proposed to address these deficiencies.

Conclusions:

  • Addressing VHD requires systemic improvements and targeted interventions.
  • The whole-life cycle management system offers a promising framework to enhance VHD patient survival and prognosis.
  • Increased public and policy attention is crucial for effective VHD management.

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