1. HeartPoint: Valvular Heart Disease A lot to be found here, including regurgitation, causes of valvular disease, therapy and surgeries available. An excellent diagram of regurgitant mitral http://www.heartpoint.com/valvularheartdx.html

Valvular Heart Disease HeartPoint animation: this will take approximately 1 minute to load. It is easily understood that the muscle that we call the heart must continue to pump with adequate force to pump the blood that the body needs. "Valves" however are extremely important to the heart's efficiency. These delicate structures allow for the efficient flow of blood progressively forward through the heart's chambers, maximizing the efficiency of the heart muscle's work. To review the flow of blood through the heart, you can check out "The Heart" animation. link In the animation above, the Tricuspid Valve (between the right atrium and right ventricle) and the Pulmonic Valve (between the right ventricle and the pulmonary artery) are illustrated to be working normally. After the right ventricle contracts, pressure is low in the chamber. The Tricuspid Valve, which had been closed from the pressure generated from the ventricle's contraction, now opens as the pressure of the blood from the right atrium has built up while the Tricuspid Valve was closed. The right ventricle will again contract, closing the Tricuspid Valve again, and pushing open the Pulmonic Valve. Once the right ventricle completes its contraction, the pressure in the pulmonary artery will be higher than in the right ventricle, and the Valve will close. The valves on the left side of the heart, the Aortic Valve and the Mitral Valve however, are not working properly. Blood returns from the lungs and empties into the left atrium. In this illustration, the Mitral Valve opens properly when the left ventricle is finished contracting, and allows blood to flow into the left ventricle easily. When the left ventricle contracts however, blood is shown to flow back into the left atrium through the Mitral Valve. This backward flow of blood is called

2. Valvular Heart Disease An extensive look at what valvular heart disease is, as well as the diagnosing and treatment. http://www.kfshrc.edu.sa/cardiovascular/html/valvular_heart_disease.html

KFSHRC Home Cardiovascular Diseases Department What is Valvular Heart Disease? How to Diagnose Valvular Heart Disease? ... How to Treat Valvular Heart Disease? What is Valvular Heart Disease? There are four chambers of the heart, two on the right side and two on the left. The upper chamber on the right side (right atrium) receives blood returned from various parts of the body and then empties to the right lower chamber (right ventricle). There is a valve between the right atrium and the ventricle, called tricuspid valve . This valve allows emptying of blood from the right atrium into the right ventricle and then closes to prevent the return of blood back into the right atrium. The other heart valves to be described later have similar functions i.e. regulating forward blood flow and preventing backward return. The right ventricle pumps the blood into the lungs where it gets oxygen. The blood here goes through another valve called the pulmonary valve .The blood is received by the left upper chamber (atrium) after it has received oxygen in the lungs. Then the left atrium empties the blood into the left lower chamber (ventricle) via a valve called the mitral valve . Finally, the blood is pumped from the left lower chamber (ventricle) to various parts of the body for supplying oxygen. The blood leaves the left ventricle via another valve called the

3. The Page You Are Trying To Access Has Been Deleted. From the American Heart Association, covers all the valve diseases, infective endocarditis, pregnancy, adolescents and young adults, prosthetic heart valves and coronary artery disease. http://www.americanheart.org/presenter.jhtml?identifier=1692

4. HeartPoint Valvular Heart Disease Tell Me More valvular heart disease. What happens with valves that leak (regurgitation)? What happens with valves that don't open well (stenosis)? http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

5. HeartPoint: Valvular Heart Disease: Tell Me More Most cases of valvular heart disease can be detected with a stethoscope. In the context of valvular heart disease, they are most often given for high http://www.heartpoint.com/valvularheartdxmore.html

Valvular Heart Disease What happens with valves that leak (regurgitation)? What happens with valves that don't open well (stenosis)? How can you tell if I have an abnormal valve? What is a heart "murmur"? ... What is "Endocarditis"? What happens with valves that leak (regurgitation)? Valves that leak cause the heart to have to pump the same blood twice . . . that is, a part of the work of the heart simply is for no good purpose, as the blood comes right back into the chamber. The heart has a number of ways it can compensate for this extra work. The first tendency is for the chambers to enlarge, since there is more blood to pump (the blood it usually would need to pump to the rest of the body plus the regurgitated blood). This is usually quite effective if the leakage is mild or moderate, and the person may not even realize there is any problem at all. In more severe cases, the heart muscle may begin to wear down. Congestive heart failure may then result, characterized by shortness of breath, swelling of the ankles, and other symptoms. The enlarged chambers may also lead to problems with arrhythmias. What happens with valves that don't open well (stenosis)?

6. Guidelines For The Management Of Patients With Valvular Heart Disease : Executiv A report of the American College of Cardiology and American Heart Association Task Force on Practice Guidelines. http://circ.ahajournals.org/cgi/content/full/98/18/1949

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted ... Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Request Permissions PubMed PubMed Citation Articles by Bonow, R. O. Articles by Smith, S. C., Jr Circulation. ACC/AHA Practice Guidelines Guidelines for the Management of Patients With Valvular Heart Disease Executive SummaryA Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Valvular Heart Disease) Committee Members Robert O. Bonow, MD, FACC, Chair Blase Carabello, MD, FACC Antonio C. de Leon, Jr, MD, FACC L. Henry Edmunds, Jr, MD, FACC Bradley J. Fedderly, MD, FAAFP Michael D. Freed, MD, FACC William H. Gaasch, MD, FACC Charles R. McKay, MD, FACC Rick A. Nishimura, MD, FACC Patrick T. O'Gara, MD, FACC Robert A. O'Rourke, MD, FACC Shahbudin H. Rahimtoola, MD, FACC

7. HeartPoint Valvular Heart Disease valvular heart disease HeartPoint animation this will take approximately 1 minute to load. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

8. Postgraduate Medicine: Valvular Heart Disease Preview Recognition and management of valvular heart disease have Harris KM, Robiolio P. valvular heart disease identifying and managing mitral and http://www.postgradmed.com/issues/1999/12_99/harris.htm

Valvular heart disease Identifying and managing mitral and aortic lesions Kevin M. Harris, MD; Paul Robiolio, MD VOL 106 / NO 7 / DECEMBER 1999 / POSTGRADUATE MEDICINE CME learning objectives To identify and assess mitral regurgitation, aortic insufficiency, mitral stenosis, and aortic stenosis To recognize which lesions are amenable to medical treatment and which require surgery To appreciate the role of echocardiography and catheterization in delineating and treating valvular heart disease This page is best viewed with a browser that supports tables Preview : Recognition and management of valvular heart disease have evolved considerably in the past two decades, thanks in large part to advances in echocardiography. In this article, Drs Harris and Robiolio summarize the initial patient assessment, diagnostic procedures, and treatment options for mitral regurgitation, aortic insufficiency, mitral stenosis, and aortic stenosis. Harris KM, Robiolio P. Valvular heart disease: identifying and managing mitral and aortic lesions. Postgrad Med 1999;106(7):113-28 A dvances in the noninvasive evaluation of valvular lesions have significantly improved the clinician's ability to diagnose and follow the progression of valvular heart disease. Often, cardiac catheterization is necessary only in patients referred for surgery or mitral valvuloplasty. Once a valve lesion is identified, endocarditis prophylaxis is necessary and is often the only medical treatment indicated. Some patients with aortic insufficiency have been shown to benefit from medical treatment. However, no definitive medical treatment has been shown to change the natural history of other valvular lesions.

9. Stanford Interventional Cardiology Stanford Interventional Cardiology is a world leader in percutaneous coronary revascularization. We perform over 1000 interventions per year and offer the latest breakthroughs in the treatment of coronary artery disease and valvular heart disease. http://cvmed.stanford.edu/interventional/home.htm

Home About Us Fellowships Services ... Toolbox Go here for the main Division page. Welcome Stanford Interventional Cardiology is a world leader in percutaneous coronary revascularization. We perform over 1000 interventions per year and offer the latest breakthroughs in the treatment of coronary artery disease and valvular heart disease. Our site will be updated regularly and parts of it are currently under construction. We apologize for any inconvenience this may cause. Feel free to give us feedback on our site and let us know what topics you would like to see. What's New DRUG-ELUTING STENT CONFERENCE at Stanford Saturday, January 18 8 AM - NOON THANKS to everyone for supporting the program. Click here to get the slides which are in Adobe Acrobat format. If you don't have a reader, click here . Go to "Downloads" and "Free Reader". We are offering new services including ASD and PFO closures and alcohol septal ablation for hypertrophic cardiomyopathy. Call us for details! Clinical Trials Update!

10. Valvular Heart Disease An extensive look at what valvular heart disease is, as well as the diagnosing and treatment. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

11. Postgraduate Medicine: Valvular Heart Disease And Pregnancy This is the fourth of four articles on valvular heart disease. Symptoms of normal pregnancy can mimic those of valvular heart disease. http://www.postgradmed.com/issues/2001/08_01/prasad.htm

Valvular heart disease and pregnancy A high index of suspicion is important to reduce risks Ananth K. Prasad, MD; Hector O. Ventura, MD VOL 110 / NO 2 / AUGUST 2001 / POSTGRADUATE MEDICINE CME learning objectives To understand the physiologic changes during pregnancy To comprehend the impact of valvular heart disease during pregnancy To be able to diagnose and manage patients with valvular heart disease during pregnancy The authors disclose no financial interest in this article. This is the fourth of four articles on valvular heart disease. This page is best viewed with a browser that supports tables. Preview : Valvular heart disease is often first recognized during pregnancy, when increased demands on the heart trigger symptoms. The profound hemodynamic changes associated with pregnancy have marked effects on patients with this disease and require special attention and care. In this article, Drs Prasad and Ventura discuss possible causes, clinical manifestations, and management of valvular heart disease during pregnancy. Prasad AK, Ventura HO. Valvular heart disease and pregnancy: a high index of suspicion is important to reduce risks. Postgrad Med 2001;110(2):69-88

12. Current Opinion In Cardiology - Home Bimonthly resource featuring reviews and editorials on developments in valvular heart disease treatment, transplantation and pediatrics. http://www.co-cardiology.com/

LWWOnline LOGIN eALERTS REGISTER ... The CO Series SUBSCRIPTION SERVICES New Subscriptions Renewal Information Trial Issue Request Special Sales Journal subscribers - if you have already registered, click the Login button on the top menu bar to access the full article text. If you have not yet registered, click on Register. You will need the subscriber number located on your journal mailing label. Guests - simply create a new account via the Register button on the top menu bar. Once you have established an account you will be able to purchase articles via our pay-per-view service and sign up for additional online services. Current Opinion in Cardiology is one of 24 Current Opinion journals that aims to help clinicians and researchers keep up-to-date in a systematic way with the vast amount of information published in cardiology. ISSN: Online ISSN: Frequency: 6 issues per year Editor Robert Roberts, MD University of Ottawa Heart Institute Ottawa, Ontario Transternal incision; transverse sternotomy at the level of the third intercostal space (ICS) (from Estrera and Reasdon, Vol 15, No 2, March 2000). This reader-friendly, bimonthly resource provides a powerful, broad-based perspective on the most important advances from throughout the world literature. Featuring renowned guest editors and focusing exclusively on one to three topics, every issue of

13. Management Of Patients With Valvular Heart Disease Guidelines ACC/AHA Guidelines for the Management of Patients With valvular heart disease http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

14. Valvular Heart Disease A list of sites providing information on valvular heart disease. http://heartdisease.about.com/cs/valvulardisease/

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a09' zCMTest=1 About Heart Disease / Cardiology Heart Disease Essentials ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/7.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Heart Disease / Cardiology newsletter! See Online Courses Search Heart Disease / Cardiology Vavlular heart disease Guide picks A list of sites providing information on valvular heart disease The McGill University virtual stethoscope A very well-done site, that combines a virtual on-line stethoscope with impressive visuals. A review of valvular heart lesions A brief but well-written overview of the major valvular diseases Heart valve disease Everything you might want to know, from the Yale Medical School Heart Book, a book aimed at a general audience. Very comprehensive. An excellent resource. Requires Adobe Acrobat Valvular heart disease A concise review by Intellihealth.com The Merck Manual on valvular heart disease An excellent overview of valvular heart disease ValveReplacement.com

15. THE MERCK MANUAL, Sec. 16, Ch. 207, Valvular Heart Disease Section 16. Cardiovascular Disorders Chapter 207. valvular heart disease Topics General Mitral Valve Disease http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

16. Valvular Heart Disease a brief survey of valvular heart disease. While there are many causes of valvular heart disease (including rheumatic fever, congenital heart disease, http://heartdisease.about.com/cs/valvulardisease/a/valvhd.htm

var zLb=4; var zIoa1 = new Array('Suggested Reading','Survey of cardiomyopathy','http://heartdisease.about.com/library/bl101cmyop.htm','Survey of coronary artery disease','http://heartdisease.about.com/library/bl101cad.htm','Survey of heart arrhythmias','http://heartdisease.about.com/library/bl101arrhythmia.htm'); zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a09' zCMTest=1 About Heart Disease / Cardiology Heart Disease Essentials ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/7.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Heart Disease / Cardiology newsletter! See Online Courses Search Heart Disease / Cardiology Stay up to date! Compare Prices Email to a friend ... Print this page Suggested Reading Survey of cardiomyopathy Survey of coronary artery disease Survey of heart arrhythmias Most Popular Increasing HDL Cholesterol and triglycerides symptoms Heart failure ... metabolic syndrome x What's Hot rimonabant for weight loss Heart failure guidelines EBT - Ultrafast CT - scans Holter Monitors and Event R... ... Exercise improves health Related Topics Exercise Nutrition Weight Loss Heartburn ... Low Fat Cooking adunitCM(150,100,'x55')

17. Cardiology Online - International Academy Of Cardiology Heart devices, transplants have similar costs; what will we pay? MADIT II Findings Support Prophylactic Use of ICDs Valvular Disease http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

18. Valvular Heart Disease: Review And Update - June 1, 2001 - American Family Physi Physical Examination of Patients with valvular heart disease Most patients with acquired valvular heart disease are at risk for developing endocarditis http://www.aafp.org/afp/20010601/2201.html

Advanced Search AAFP Home Page Journals Vol. 63/No. 11 (June 1, 2001) Valvular Heart Disease: Review and Update BENJAMIN SHIPTON, D.O., Mercer, Pennsylvania HANEY WAHBA, M.D., Mercy Hospital of Pittsburgh, Pittsburgh, Pennsylvania A PDF version of this document is available. Download PDF now (8 pages / 126 KB). More information on using PDF files. F amily physicians routinely encounter patients with valvular heart disease. Although major advances in our understanding of this disease have been made in the past two decades, only recently has there been evidence-based literature from which to draw conclusions about its diagnosis and management. The American College of Cardiology and American Heart Association (ACC/AHA) Task Force recently published comprehensive practice guidelines to help clinicians manage this challenging disorder. Improved surgical techniques, noninvasive techniques for surveillance of left ventricular function and guidelines for the timing of surgery have likely combined to contribute to improved survival and decreased morbidity in patients with chronic valvular heart disease. FIGURE 1.

19. Antithrombotic Therapy In Valvular Heart DiseaseNative And This chapter about antithrombotic therapy in native and prosthetic valvular heart disease is part of the Seventh ACCP Conference on http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

20. Valvular Heart Disease CHC Wausau Hospital s Medical Library and Patient Education Center provides research services and healthcare information to physicians, http://www.chclibrary.org/micromed/00069920.html

Main Search Index Definition Description Causes ... Resources Valvular heart disease Anatomy of the human heart. The illustration at the bottom right shows how the right and left ventricles contract and relax when blood is pumped through the heart. Definition Valvular heart disease refers to several disorders and diseases of the heart valves, which are the tissue flaps that regulate the flow of blood through the four chambers of the heart. Description The human heart consists of four chamberstwo upper chambers (the atria) and two lower chambers (the ventricles)which are responsible for pumping blood. The heart valves are like one-way doors, which open and close with each beat of the heart, controlling the blood flow from one chamber to the next. Each of these valves is made up of a few thin folds of tissue. When functioning correctly, they keep blood from flowing backwards into a chamber when closed. The four valves function in the following manner: The mitral valve is located between the left atrium and the left ventricle. It is the only valve with two flaps, or cusps. The tricuspid valve is located on the right side of the heart, between the right atrium and right ventricle. It is made up of three cusps, each a different size.

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