FP Essentials™

Valvular Heart Disease

Edition #397 | June 2012

Cover: FP Essentials #397 Valvular Heart Disease

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In This Edition

  • Identify the first-line test for evaluating the etiology of heart murmur.
  • Identify the appropriate test when a discrepancy exists between the clinical and echocardiographic findings in a patient with a heart murmur.
  • Identify the cardiac valve dysfunction which, when severe and symptomatic, is a contraindication to stress testing.
  • State the indications for valve surgery in patients with aortic stenosis.
  • Identify the treatment of choice for most patients with moderate to severe mitral stenosis.
  • Explain how anticoagulation therapy should be modified if a thromboembolic event occurs in a patient already receiving anticoagulation therapy because of placement of a mechanical heart valve.
  • Explain the approach to anticoagulation therapy when surgery is required in a patient who has a mechanical heart valve.
  • Identify the types of procedures for which endocarditis prophylaxis is recommended.
  • Identify the heart valve lesion that most typically requires management during pregnancy.
  • Describe an acceptable approach to anticoagulation during pregnancy for patients who have a mechanical heart valve.

CME Credit

Approved for 5 AAFP Prescribed credits; 5 AMA PRA Category 1 credits™. Credit valid through June 30, 2014.

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