1
Table 2. Stages of Progression of VHD
Stage Definition Description
A At risk Patients with risk factors for development of VHD
B Progressive Patients with progressive VHD (mild-to-moderate severity
and asymptomatic)
C Asymptomatic
severe
Asymptomatic patients who meet the criteria for severe VHD:
C1: Asymptomatic patients with severe VHD in whom the
le or right ventricle remains compensated
C2: Asymptomatic patients with severe VHD, with
decompensation of the le or right ventricle
D Symptomatic
severe
Patients who have developed symptoms as a result of VHD
Table 1. The Heart Valve Team
Recommendations COR LOE
Patients with severe VHD should be evaluated by a
multidisciplinary Heart Valve Team when intervention
is considered.
I C
Consultation with or referral to a Heart Valve Center of
Excellence is reasonable when discussing treatment options for
• asymptomatic patients with severe VHD,
• patients who may benefit from valve repair versus valve
replacement, or
• patients with multiple comorbidities for whom valve
intervention is considered.
IIa C
The Heart Valve Team
Evaluation
