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Expert Consensus Systems of Care Proposal to Optimize Care for Patients With Valvular Heart Disease Review of the 2019 Document for the Cardiac Anesthesiologist.

Authors
  • Yu, Soojie1
  • Fabbro, Michael 2nd2
  • Aljure, Oscar2
  • 1 University of Miami Miller School of Medicine, Department of Anesthesiology, Miami, FL. Electronic address: [email protected]
  • 2 University of Miami Miller School of Medicine, Department of Anesthesiology, Miami, FL.
Type
Published Article
Journal
Journal of cardiothoracic and vascular anesthesia
Publication Date
Sep 01, 2020
Volume
34
Issue
9
Pages
2476–2483
Identifiers
DOI: 10.1053/j.jvca.2019.11.034
PMID: 31917079
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Valvular heart disease requiring intervention is increasing in prevalence in the adult population. With advancement in transcatheter and surgical procedures for valvular heart disease, optimization of patient selection, availability of resources and personnel, appropriate training and certification, and optimal periprocedural management rely on clinical evaluation, accurate echocardiographic interpretation, and understanding of valvular pathophysiology by the cardiac anesthesiologist. To optimize care and improve access for patients with valvular heart disease the Expert Consensus Systems of Care Document by Nishimura et al.1 was recently published. The authors propose a protocol with guidelines and performance metrics to create tiered-level valve centers. This review focuses and expands on aspects discussed in Nishimura et al.'s Expert Consensus Systems of Care Document that are relevant to the cardiac anesthesiologist in the periprocedural setting. Copyright © 2019 Elsevier Inc. All rights reserved.

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