0-Valvular Disorders

• Flavors:

  • Aortic Valve
    • Aortic Stenosis
      • Subaortic Stenosis
    • Aortic Regurgitation
    • Bicuspid Aortic Valve
    • TAVR
  • Mitral Valve
    • Mitral Stenosis
    • Mitral Regurgitation
    • Mitral Valve Prolapse (MVP)
    • Mitral Annular Calcification (MAC)

• MR is most common of the valvular heart disorders. Seen in ~2% of the general population.

  • Women > Men

Figure source

Echocardiogram Frequency in Asymptomatic Patients with Valvular Heart Disease

Stage	Aortic Stenosis	Aortic Regurgitation	Mitral Stenosis	Mitral Regurgitation
Progressive (Stage B)	Every 3-5 yrs (mild; Vmax 2.0-2.9 m/s) Every 1-2 yrs (moderate; Vmax 3.0-3.9 m/s)	Every 3-5 y (mild) Every 1-2 y (moderate)	Every 3-5 y (MVA > 1.5 cm2)	Every 3-5 y (mild) Every 1-2 y (moderate)
Severe ASx (Stage C1)	Every 6-10 mo. (Vmax ≥ 4 m/s)	Every 6-10 mo. Dilating LV: more frequent	Every 1-2 y (MVA 1.0-1.5 cm2) Every 1 y (MVA < 1.0 cm2)	Every 6-10 mo. Dilating LV: more frequent