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Heart Asia 2009;2009:5-10 doi:10.1136/ha.2008.000315
  • Practice viewpoints

Valvular regurgitation and stenosis: when is surgery required?

  1. R Goel,
  2. P P Sengupta,
  3. F Mookadam,
  4. H P Chaliki,
  5. B K Khandheria,
  6. A J Tajik
  1. Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona, USA
  1. Dr A J Tajik, Mayo Clinic Scottsdale, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA; tajik{at}mayo.edu
  • Accepted 20 January 2009

Abstract

Valvular heart disease is a growing public health problem, with an increasing prevalence due to an ageing population. Despite advances, the medical management of symptomatic valvular heart diseases remains suboptimal, necessitating surgical correction. The challenge remains in identifying an asymptomatic or mildly symptomatic patient who will benefit from timely surgery before irreversible changes in cardiac function have occurred. The potential risks of surgery versus watchful expectancy require careful decision-making. This review is a focused update on the existing guidelines and identifies the knowledge gaps and avenues of future research in the management of patients with valvular heart diseases

Footnotes

  • Competing interests: None.

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"The publication of a premier cardiology journal, Heart Asia, by BMJ Publishing Group is a significant step forwards as this will become the preferred journal of choice for many of the original research work in the Asia Pacific region,"

Professor Vinay K Bahl, All India Institute of Medical Sciences, New Delhi

"The launch of Heart Asia will provide doctors in China a platform to publish their original research data and it is an important bridge that will allow the Chinese cardiologists to integrate with the international cardiology community,"

Professor Hu Dayi, Chief of the Heart Centre at Peking University’s People’s Hospital, Beijing

"Leading cardiology centres in the Asia Pacific region do some of the finest research in the world and the launch of Heart Asia is timely as it will allow top class research papers to be published in an Asia Pacific cardiology journal,"

Professor Ruey Jen Sung, Professor, Emeritus, Stanford University.

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