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A correction has been published: N Engl J Med 1997;337(7):507.

A correction has been published: N Engl J Med 2001;345(22):1652.

Previous Volume 337:32-41 July 3, 1997 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The past 15 years have brought a remarkable improvement in the clinical outcome of patients with valvular heart disease. It is impossible to attribute the change to any single advance in the field. However, it is likely that more effective noninvasive monitoring of ventricular function, improvement in prosthetic valves, advances in valve-reconstruction techniques, and the development of useful guidelines for choosing the proper timing of surgical intervention have all worked in concert to improve prognosis. Moreover, advances in minimally invasive surgical techniques may make valve procedures more easily tolerated by the patient.¹

All valvular heart diseases place a hemodynamic burden . . . [Full Text of this Article]

Aortic Stenosis

Recognition

Assessment of Severity

            Echocardiography

            Cardiac Catheterization and Coronary Angiography

Timing of Surgery

            Age

            Balloon Aortic Valvotomy

Stress Testing

Patients with Congestive Heart Failure and Reduced Systolic Performance

Women with Aortic Stenosis

Mitral Stenosis

Recognition and Assessment of Severity

Therapy and Timing of Intervention

Nonischemic Mitral Regurgitation

Recognition and Assessment of Severity

Timing of Surgery

Importance of the Mitral-Valve Apparatus

Medical Therapy

Aortic Regurgitation

Recognition and Assessment of Severity

Therapy

            Surgical Correction

            Medical Therapy

Acute Aortic Insufficiency

            Assessment of Severity and Timing of Surgery

Coronary Artery Disease

Summary

Source Information

From the Cardiology Division, Department of Medicine (B.A.C.), the Gazes Cardiac Research Institute (B.A.C.), and the Division of Cardiothoracic Surgery, Department of Surgery (F.A.C.), Medical University of South Carolina; and the Ralph H. Johnson Department of Veterans Affairs (B.A.C.) — both in Charleston, S.C.

Address reprint requests to Dr. Carabello at the Cardiology Division, Medical University of South Carolina, 171 Ashley Ave., Charleston, SC 29425-2221.

References

Related Letters:

Valvular Heart Disease
Feinberg M. S., Schwammenthal E., Vered Z., Homler H., Carabello B. A., Crawford F.
Extract | Full Text  
N Engl J Med 1997; 337:1474-1475, Nov 13, 1997. Correspondence

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