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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.
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.
Abstract:
Valvular heart disease (VHD) is rapidly increasing in prevalence worldwide, affecting millions and significantly impacting global health care systems. Despite notable advancements in understanding VHD progression, perioperative management, imaging techniques, and transcatheter therapies over the past 2 decades, the condition has not received the attention it deserves from the public and policymakers. Many patients with VHD in low- and middle-income countries continue to experience low detection, intervention, and follow-up rates. Systematic care for elderly patients and those with severe comorbidities, as well as postoperative patients, remains insufficient, leading to higher mortality and morbidity rates. This review focuses on the deficiencies in VHD treatment within the Chinese health care system and discusses the modern management program, known as the whole-life cycle management system, that has been implemented to enhance the survival prognosis of VHD patients.
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