Valvular Heart Disease

Disease 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. All you need to know about valve disease in an easy-to-read pocket sized format Complements the curriculum for specialist training in cardiology in the UK, and relevant to candidates in preparation for accreditation with the British Society of Echocardiography Contains over 150 illustrations and an 8-page colour plate section to demonstrate the use of imaging in diagnosis and treatment Conforms to current European guidelines on the management of valvular heart disease James Newton , Specialist Registrar, Department of Cardiology, Oxford Radcliffe Hospitals NHS Trust, UK, Nikant Sabharwal , Consultant Cardiologist, Oxford Radcliffe Hospitals NHS Trust, UK, Saul G. Myerson , Consultant Cardiologist, Oxford Radcliffe Hospitals NHS Trust; and Honorary Senior Clinical Lecturer in Cardiovascular Medicine, University of Oxford, UK, Stephen Westaby , Consultant Cardiac Surgeon, Oxford Radcliffe Hospitals NHS Trust, UK, and Bernard Prendergast , Consultant Cardiologist, Oxford Radcliffe Hospitals NHS Trust, UK CONTENTS 1: Introduction to valvular heart disease 2: Assessment of valvular heart disease 3: General management 4: Aortic stenosis 5: Aortic regurgitation 6: Mitral stenosis 7: Mitral regurgitation 8: Tricuspid stenosis 9: Tricuspid regurgitation 10: Pulmonary stenosis 11: Pulmonary regurgitation 12: Surgery and prosthetic valves 13: Percutaneous valve therapy 14: Management during non-cardiac surgery 15: Valvular heart disease in pregnancy 16: Infective endocarditis Appendix- Further reading