Mitral Regurgitation - Valvular Heart Disease Guidelines

Valvular Heart Disease

ACC/AHA Valvular Heart Disease - Mitral Regurgitation GUIDELINES Apps brought to you charge courtesy of Guideline Central and Abbott Vascular.

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Figure 11. Evaluation and Management of CAD in Patients Undergoing Valve Surgery Coronary Evaluation Prior to Valve Surgery Functional MR • Men >40 y of age • Postmenopausal women • Other coronary risk factors • Symptoms of angina • Objective evidence of ischemia • Descreased LV systolic function • Hisotry of CAD Emergency valve surgery (acute valve regurgitation, aortic root disease, or IE) Low or intermediate pretest likelihood CAD High pretest likelihood CAD Alternative approach Coronary CT angiography (IIa) Abnormal Normal CAD with ≥70% diameter stenosis of a major coronary artery or ≥50% diameter le main stenosis Coronary angiography (I) Valve surgery NO YES Valve surgery with CABG or PCI (IIa) Valve surgery Valve surgery without coronary angiography (IIa) 53 Surgical Considerations in Patients With CAD

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