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2017 Update Incorporated - Valvular Heart Disease

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17 Figure 3. Indications for AVR for Chronic AR AR Severe AR (stages C and D) • Vena contracta >0.6 cm • Holodiastolic aortic flow reversal • RVol ≥60 mL/beat • RF ≥50% • ERO ≥0.3 cm 2 • LV dilation Progressive AR (stage B) • Vena contracta ≤0.6 cm • RVol <60 mL/beat • RF <50% • ERO <0.3 cm 2 Symptomatic (stage D) Asymptomatic (stage C) Other cardiac surgery LVEF <50% (stage D) Other cardiac surgery LVEF ≥50% LVESD >50 mm (stage C2) LVEF ≥50% LVEDD >65 mm Low surgical risk LVEF ≥50% LVESD ≤50 mm LVEDD ≤65 mm AVR (IIb) AVR (IIa) AVR (I) Periodic Monitoring AVR (IIa) NO YES

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