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2017 Update Incorporated - Valvular Heart Disease

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20 Table 14. Stages of MS Stage Definition Valve Anatomy A At risk of MS • Mild valve doming during diastole B Progressive MS • Rheumatic valve changes with commissural fusion and diastolic doming of the MV leaflets • Planimetered MVA >1.5 cm 2 C Asymptomatic severe MS • Rheumatic valve changes with commissural fusion and diastolic doming of the MV leaflets • Planimetered MVA ≤1.5 cm 2 • (MVA ≤1.0 cm 2 with very severe MS) D Symptomatic severe MS • Rheumatic valve changes with commissural fusion and diastolic doming of the MV leaflets • Planimetered MVA ≤1.5 cm 2 Mitral Stenosis

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