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-up so intervention can be performed at the optimal time. The purpose of a heart valve clinic is to improve patient outcomes by providing an accurate diagnosis and timely follow-up and treatment of heart valve disease. Particular importance is placed on

Introduction Echocardiography is the key to the detection and initial assessment of valve disease. A murmur leading to echocardiography is a common path to a valve clinic. Beyond this the examination is of relatively minor importance. However

assess and follow patients in a specialist valve clinic ( 3 ). The specialists in this clinic are also responsible for inpatient care, for managing programmes to improve the detection of valve disease, to train health-workers and to educate patients ( 4

this article, we highlight the burden of VHD, identify critical challenges and unmet medical needs in VHD, and present how the implementation of a valve clinic with VHD specialists/valvular heart team can circumvent these issues and improve patient

percutaneous approaches to the treatment of aortic valve stenosis and mitral regurgitation. The concept of the heart team and the concept of heart valve clinics have been emphasized by these recent guidelines. Therefore, our daily practice is based on these

specialist valve clinic ( 11 , 12 ). In a multidisciplinary valve clinic, a nurse will usually see patients after surgery who do not require echocardiography ( 13 ). The valve clinic setting allows immediate discussion of individual cases to agree changes to

and follow-up have been published, including specialist heart valve clinics ( 1 , 2 , 3 ). Patients with prosthetic heart valves (PHVs) require lifelong specialist follow-up to monitor for short- and long-term complications including prosthesis

by Vscan screening to have formal TTE in the hospital. We followed that with an appointment in the cardiology clinic, with appropriate referral (to the valve clinic for follow-up or to a cardiac surgeon for valve intervention). Costs We

referred into the clinic. All patients had a calculated aortic valve area (AVA) of less than 1.0 cm 2 , a peak aortic velocity (Vmax) of more than 4.0 m/sec or a mean aortic pressure gradient (mean PG) greater than 40 mmHg. Patients had a left ventricular

Doppler hemodynamics of 51 clinically and echocardiographically normal pulmonary valve prostheses . Mayo Clinic Proceedings 76 155 – 160 . ( doi:10.1016/S0025-6196(11)63122-4 ) 11213303 10.1016/S0025-6196(11)63122-4 19 Thangaroopan M Choy JB