The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

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Is it time for national systems of care for valvular heart disease?

EuroIntervention 2018;13:e2109-e2111 published online e-edition April 2018. DOI: 10.4244/EIJV13I18A347

Baylor Scott & White Health, Dallas, TX, USA


Looking back to two decades ago, the decision-making process for the management of patients with valvular heart disease was a relatively straightforward one compared to today. Patient management decisions could be largely distilled down to first, does the patient with valvular heart disease have symptoms sufficiently severe that surgical valve replacement is indicated? And second, if valve surgery is performed, what type of valve should be placed, tissue or mechanical? Now of course, this is a gross oversimplification of the care of patients with valvular heart disease 20 years ago that does a disservice to those practitioners then caring for ...

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