Abstract
The ACC/AHA guidelines have identified severe valvular disease as an “Active Cardiac Condition” (i.e., high risk) for noncardiac surgery [1]. Identifying pathologic murmurs and distinguishing them from functional murmurs by careful history and exam is the first essential step. The type and degree of valvular dysfunction, as well as the nature of the planned surgery, all influence perioperative risk and determine the need for intervention. Abnormalities of the aortic and mitral valves are the most common, and generally pose the most clinically significant risk.
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Reddy, A. (2013). Valvular Heart Disease. In: Wong, C., Hamlin, N. (eds) The Perioperative Medicine Consult Handbook. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3220-3_11
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DOI: https://doi.org/10.1007/978-1-4614-3220-3_11
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