Current issues should be emphasized on preoperative evaluation of heart valvular disease
Preoperative evaluation is crucial for heart valvular surgery.This article discusses some issues that need to be emphasized:the impact of hypertension on the severity of aortic valve lesions,and how to improve the accuracy of clinical assessment;the identification of functional tricuspid regurgitation,in order to choose the appropriate surgical technique;the need for right ventricular function testing,and the use of risk scoring models,to better grasp surgical timing and indications and improve efficacy;and the importance of evaluating atrial mitral and/or tricuspid regurgitation complications in chronic atrial fibrillation,and making rational choices for interventional and surgical treatment.
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