Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-28T04:02:17.518Z Has data issue: false hasContentIssue false
  • English
  • Français

Primary cardiovascular care for patients with valvar cardiac disease*

Published online by Cambridge University Press:  29 December 2014

Jeffrey R. Boris
Jeffrey R. Boris*
Affiliation:
Clinical Professor of Pediatrics, Division of Cardiology Philadelphia, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America
*
Correspondence to: Dr J. R. Boris, MD, Clinical Professor of Pediatrics, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Division of Cardiology Philadelphia, PA 19104, United States of America. Tel: +215-590-3180; Fax: +267-426-5324; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Outpatient management of patients with structurally or functionally abnormal cardiac valves combines an ability to record an appropriate history, a directed physical examination, a knowledge of both the interpretation as well as the context of any associated testing, and an understanding of the care guidelines in the medical literature. This article attempts to integrate these various features to guide the clinician towards more appropriate and timely management of patients with cardiac valve disease.

Keywords

Valvular insufficiencystenosisregurgitationaortic root dilation
Type
Original Article
Information
Cardiology in the Young , Volume 24 , Issue 6: HeartWeek 2014 , December 2014 , pp. 1057 - 1063
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at All Children’s Hospital Johns Hopkins Medicine 14th International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, 15–18 February 2014, Special Focus: Diseases of the Cardiac Valves from the Fetus to the Adult, Co-Sponsor: The American Association for Thoracic Surgery (AATS).

References

1.Boris, JR. Primary care management of patients with common arterial trunk and transposition of the great arteries. Cardiol Young 2012; 22: 761–767.CrossRefGoogle ScholarPubMed
2.Boris, JR. Primary care management of patients with hypoplastic left heart syndrome. Cardiol Young 2011; 21: 53–58.CrossRefGoogle ScholarPubMed
3.Cripe, L, Andelfinger, G, Martin, LJ, et al. Bicuspid aortic valve is heritable. J Am Coll Cardiol 2004; 44: 138–143.CrossRefGoogle ScholarPubMed
4.Ngweze, DP, Hornberger, LH, Saretsky, B, et al. Congenital heart disease and the emission of industrial developmental toxicants in Alberta, Canada. Circulation 2013; 128: A15332.Google Scholar
5.Bonow, RO, Carabellow, BA, Chatterjee, K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice guidelines (Writing Committee to Develop Guidelines for the Management of Patients with Valvular Heart Disease). J Am Coll Cardiol 2006; 48: e1–e148.Google Scholar
6.Keane, JF, Driscoll, DJ, Gersony, WM, et al. Second natural history study of congenital heart defects. Results of treatment of patients with aortic valvar stenosis. Circulation 1993; 87: I16–I27.Google Scholar
7.Fernandes, SM, Sanders, SP, Khairy, P, et al. Morphology of bicuspid aortic valve in children and adolescents. J Am Coll Cardiol 2004; 44: 1648–1651.Google Scholar
8.Russo, CF, Cannata, A, Lanfranconi, M, et al. Is aortic wall degeneration related to bicuspid aortic valve anatomy in patients with valvular disease? J Thorac Cardiovasc Surg 2008; 136: 937–942.CrossRefGoogle ScholarPubMed
9.Stulak, JM, Dearani, JA, Burkhart, HM, et al. Does the dilated ascending aorta in an adult with congenital heart disease require intervention? J Thorac Cardiovasc Surg 2010; 140: S52–S57.Google Scholar
10.Hiratzka, LF, Bakris, GL, Beckman, JA, et al. ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the diagnosis and management of patients with thoracic aortic disease. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologist, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. J Am Coll Cardiol 2010; 55: e27–e129.CrossRefGoogle Scholar
11.Haves, CJ, Gersony, WM, Driscoll, DJ, et al. Second natural history study of congenital heart defects. Results of treatment of patients with pulmonary valvar stenosis. Circulation 1993; 87: I28–I37.Google Scholar
12. Pediatric Heart Network: Marfan Study Basics. Retrieved 23 September 2014 from http://www.pediatricheartnetwork.org/Studies/CurrentStudies/MarfanStudy.aspxGoogle Scholar
13.Wilson, W, Taubert, KA, Gewitz, M, et al. Prevention of infective endocarditis: guidelines from the American Heart Associatin: a guidelines from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Qualityof Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007; 116: 1736–1754.Google Scholar