Skip to main content

Processes of Care and Evaluation Pathway for Patients with Valvular Heart Disease

  • Chapter
  • First Online:
Valvular Heart Disease

Abstract

The multifaceted nature of valvular heart disease in the setting of transcatheter therapy development has propelled a transformation in the diagnosis and care of these complex patients and disease states. What once was a subset of cardiovascular care now warrants program development and design to meet the spectrum of needs. As a relatively young endeavor, much of the structure is based upon precedents embedded in research and heart failure care processes, the evolution of which has necessitated a comprehensive pathway of patient screening, evaluation, and treatment. Optimal outcomes require a coordinated system of care.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. CMS.gov. https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=297&bc=AAgAAAAACAAA&.

  2. CMS.gov. https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=293.

  3. Bavaria JE, et al. 2018 AATS/ACC/SCAI/STS Expert consensus systems of care document: operator and institutional recommendations and requirements for transcatheter aortic valve replacement. J Am Coll Cardiol. 2019;73(3):340–74.

    Article  Google Scholar 

  4. Nishimura RA, et al. 2019 AATS/ACC/ASE/SCAI/STS Expert consensu systems of care document: a proposal to optimize care for patients with valvular heart disease. J Am Coll Cardiol. 2019;73(20):2609–35.

    Article  Google Scholar 

  5. Hawkey MC, Kirk BH. The valve program clinician. In: Hawkey M, et al., editors. Transcatheter aortic valve replacement program development a guide for the heart team. Philadelphia, PA: Wolters Kluwer; 2020. p. 37–49.

    Google Scholar 

  6. Kim DH, et al. Evaluation of changes in functional status in the year after aortic valve replacement. J Am Med Assoc Intern Med. 2019;179(3):383–91.

    Google Scholar 

  7. Kiani S, et al. The effect and relationship of frailty indices on survival after transcatheter aortic valve replacement. J Am Coll Cardiol. 2020;13(2):219–31.

    Article  Google Scholar 

  8. Bae J-M. Shared decision making: relevant concepts and facilitating strategies. Epidemiol Health. 2017;39:e2017048. https://doi.org/10.4178/epih.e2017048.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Shimura T, et al. Patients refusing transcatheter aortic valve replacement even once have poorer clinical outcomes. J Am Heart Assoc. 2018;7:e009195. https://doi.org/10.1161/JAHA.118.009195.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Lindeman BR, et al. Priorities for patient-centered research in valvular heart disease: a report from the National Heart, Lung, and Blood Institute work group. J Am Heart Assoc. 2020;9:e015975. https://doi.org/10.1161/JAHA.119.015975.

    Article  Google Scholar 

  11. Batchelor W, et al. Aortic valve stenosis treatment disparities in the underserved: JACC council perspectives. J Am Coll Cardiol. 2019;74(18):2313–21.

    Article  Google Scholar 

  12. Ng VG, Hahn RT, Nazif TM. Planning for success: pre-procedural evaluation for transcatheter aortic valve replacement. Cardiol Clin. 2020;38(1):103–13. https://doi.org/10.1016/j.ccl.2019.09.013. PMID: 31753169.

    Article  PubMed  Google Scholar 

  13. Coylewright M, et al. TAVR in low-risk patients: FDA approval, the new NCD, and shared decision-making. J Am Coll Cardiol. 2020;75(10):1208–11.

    Article  Google Scholar 

  14. Writing Committee Members, Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP III, Gentile F, Jneid H, Krieger EV, Mack M, McLeod C, O’Gara PT, Rigolin VH, Sundt TM III, Thompson A, Toly C. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2021;77(4):450–500. https://doi.org/10.1016/j.jacc.2020.11.035. Erratum in: J Am Coll Cardiol. 2021;77(9):1276. PMID: 33342587.

    Article  Google Scholar 

  15. Annabi MS, Clavel MA, Pibarot P. Dobutamine stress echocardiography in low-flow, low-gradient aortic stenosis: flow reserve does not matter anymore. J Am Heart Assoc. 2019;8(6):e012212. https://doi.org/10.1161/JAHA.119.012212. PMID: 30879376; PMCID: PMC6475035.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Lilly SM, Deshmukh AJ, Epstein AE, Ricciardi MJ, Shreenivas S, Velagapudi P, Wyman JF. 2020 ACC expert consensus decision pathway on management of conduction disturbances in patients undergoing transcatheter aortic valve replacement: a report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2020;76(20):2391–411. https://doi.org/10.1016/j.jacc.2020.08.050. PMID: 33190683.

    Article  PubMed  Google Scholar 

  17. Godoy M, Mugharbil A, Anastasius M, Leipsic J. Cardiac computed tomography (CT) evaluation of valvular heart disease in transcatheter interventions. Curr Cardiol Rep. 2019;21(12):154. https://doi.org/10.1007/s11886-019-1241-6. PMID: 31768770.

    Article  PubMed  Google Scholar 

  18. Carasso S, Amy DPB, Kusniec F, Ghanim D, Sudarsky D, Kinany W, Shmuel C, Abu El-Naaj I, Kachel E, Amir O. Dental screening prior to valve interventions: should we prepare transcatheter aortic valve replacement candidates for “surgery”? Int J Cardiol. 2019;294:23–6. https://doi.org/10.1016/j.ijcard.2019.07.081. PMID: 31378381.

    Article  PubMed  Google Scholar 

  19. Wilson CM, Kostsuca SR, Boura JA. Utilization of a 5-meter walk test in evaluating self-selected gait speed during preoperative screening of patients scheduled for cardiac surgery. Cardiopulm Phys Ther J. 2013;24(3):36–43. PMID: 23997690; PMCID: PMC3751713.

    Article  Google Scholar 

  20. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111–7. https://doi.org/10.1164/ajrccm.166.1.at1102. Erratum in: Am J Respir Crit Care Med. 2016;193(10):1185. PMID: 12091180.

    Article  Google Scholar 

  21. Shahian DM, Jacobs JP, Badhwar V, Kurlansky PA, Furnary AP, Cleveland JC Jr, Lobdell KW, Vassileva C, Wyler von Ballmoos MC, Thourani VH, Rankin JS, Edgerton JR, D’Agostino RS, Desai ND, Feng L, He X, O’Brien SM. The Society of Thoracic Surgeons 2018 adult cardiac surgery risk models: part 1-background, design considerations, and model development. Ann Thorac Surg. 2018;105(5):1411–8. https://doi.org/10.1016/j.athoracsur.2018.03.002. PMID: 29577925.

    Article  PubMed  Google Scholar 

  22. Imnadze G, Hofmann S, Billion M, Ferdosi A, Kowalski M, Rajab E, Bramlage K, Bramlage P, Warnecke H, Franz N. Clinical value of the 20% logistic EuroSCORE cut-off for selecting TAVI candidates: a single-centre cohort study analysis. Open Heart. 2020;7(1):e001194. https://doi.org/10.1136/openhrt-2019-001194. PMID: 32153791; PMCID: PMC7046969.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Cooper LB. Assessing the quality and effectiveness of team-based care for HF: who, what, where, when, how. Heart Fail Clin J. 2015;11(3):499–506.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kimberly Guibone .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Guibone, K., Munoz, J. (2022). Processes of Care and Evaluation Pathway for Patients with Valvular Heart Disease. In: Hawkey, M.C., Lauck, S.B. (eds) Valvular Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-86233-6_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-86233-6_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-86232-9

  • Online ISBN: 978-3-030-86233-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics