Heart Valve Clinic: A Model for Treatment of Structural Heart DiseaseReport as inadecuate




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Background and Aim of the Study: Valvular heartdisease VHD should be managed by a Heart Valve Team HVT for optimaltreatment. Although the prevalence of VHD is increasing, an overall lack ofuniversal implementation of the HVT continues to exist. Here we present ourmodel of care within a Veteran’s Affairs Medical Center VAMC. Materials andMethods: All patients referred to our VAMC with structural valvular diseasehave been managed within our multidisciplinary heart valve clinic since 2006.The heart valve clinic consists of a dedicated valve surgeon as well as both adedicated noninvasive imaging cardiologist and cardiac MRI-CT cardiologist.Cases are reviewed on a weekly basis with multidisciplinary input to guidetreatment strategy. Therapy includes medical management, facilitation offurther diagnostic workup, and referral for operative intervention. Results: Between2006 and 2015, 560 patients have been evaluated in HVC. Overall, new patientyearly volume has nearly tripled with now over 90 new consults seen yearly. Ofthe patients evaluated, 313 were referred for operative intervention withfollow up post-operatively to affirm adequate post-procedural function.Following HVC referral trends, operative yearly volume has increased 33% overthe last year years compared to the first three years of the program. The heartvalve clinic has also matured to support a dedicated TAVR program. Conclusions:As the options for heart valve therapy and indications for surgery continue toevolve, a multidisciplinary team to guide decision making is imperative. Wepresent the success and growth of our heart valve clinic within a VAMC as astructural model that can be translated into both the community and academicsetting.

KEYWORDS

Acquired Disease, Valve Replacement

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Endicott, K. , Lambdin, J. , Morrisette, J. , Kirkpatrick, A. , Nagy, C. , Mordini, F. , Greenberg, M. and Trachiotis, G. 2017 Heart Valve Clinic: A Model for Treatment of Structural Heart Disease. World Journal of Cardiovascular Surgery, 7, 1-9. doi: 10.4236-wjcs.2017.71001.





Author: Kendal Endicott1, Jacob Lambdin1, Jason Morrisette1, Amy Kirkpatrick1, Christian Nagy1, Frederick Mordini1, Michael Greenberg1, G

Source: http://www.scirp.org/



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