Show Summary Details
Page of

Therapeutic strategy in valvular problems 

Therapeutic strategy in valvular problems
Chapter:
Therapeutic strategy in valvular problems
Author(s):

Jason F. Deen

and Karen K. Stout

DOI:
10.1093/med/9780199600830.003.0159
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 28 February 2020

Valvular heart disease constitutes considerable disease burden in the elderly and surgery remains the definitive treatment. Most valve dysfunction is chronic in nature and may not meet sufficient criteria for surgical consideration; however, additional stressors such as hypovolaemia, arrhythmia, or infection may lead to cardiovascular symptoms and haemodynamic compromise, necessitating intensive care unit management. Acute valve dysfunction is typically a surgical emergency, and medical therapy is selectively used to bridge to more definitive therapy. Some situations, such as mitral stenosis, may be effectively medically managed to delay a surgical procedure, but the majority of acute valve dysfunction that requires intensive care will eventually come to surgery.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.