Valvular Heart Disease

Valvular Heart Disease is a topic covered in the Washington Manual of Medical Therapeutics.

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The 2014 and updated 2017 American Heart Association/American College of Cardiology (AHA/ACC) Guidelines describe different stages in the progression of valvular heart disease (VHD).1,2

  • Stage A (at risk): patients with risk factors for development of VHD.
  • Stage B (progressive): patients with progressive VHD (mild to moderate severity and asymptomatic).
  • Stage C (asymptomatic severe): asymptomatic patients who meet criteria for severe VHD.
    • C1: asymptomatic patients with a compensated left and right ventricle.
    • C2: asymptomatic patients with decompensation of the left or right ventricle.
  • Stage D (symptomatic severe): patients who have developed symptoms as a result of VHD.

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