Challenges in Multivalvular Heart Disease: Indian Scenario
نویسندگان
چکیده
In the Indian subcontinent, patients having multivalvular disease (MVD) continue to be a frequent entity whose evaluation and management are challenging. MVD is the combination of stenosis or regurgitation, or both, on two or more valves of the heart.1 There are a large number of possible combinations in patients with MVD, and this heterogeneity leads to availability of limited data.2,3 The European Society of Cardiology (ESC) guidelines in 2012 stated that there is a lack of data on mixed and multiple valvular heart disease, and this does not allow for evidencebased recommendations.2 Although each case of MVD is different, in this review we consider the general pathophysiologic principles, assess the clinical and echocardiographic challenges to the anesthesiologist in MVD, and the potential management strategies. Incidence and Etiology
منابع مشابه
بررسی عوامل همراه در شیوع فیبریلاسیون دهلیزی و ترومبوآمبولی سیستمیک(سکته مغزی) در بیماران مبتلا به بیماری رماتیسمال دریچهای قلب
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