Valvular Heart Disease in the Cardiac Intensive Care Unit.

Publication Title

Critical care clinics

Authors

Emily K Zern, Providence Heart Institute, Center for Cardiovascular Analytics, Research, and Data Science (CARDS), Providence St Joseph Health, Portland, Oregon, USA.Follow
Rachel C Frank
Evin Yucel

Document Type

Article

Publication Date

1-1-2024

Keywords

oregon; portland; cards; cards publication; Humans; Heart Valve Prosthesis Implantation; Heart Valve Diseases; Mitral Valve; Intensive Care Units

Abstract

Valvular heart disease pathologies are commonly encountered in the cardiac intensive care unit (CICU). Clinical presentations may range from an acute pathology of the aortic or mitral valve necessitating emergency intervention to a more subtle decompensation of longstanding valvular disease. With growing numbers of transcatheter valvular interventions, CICU providers must recognize and manage common complications after transcatheter aortic, mitral, and tricuspid interventions. In addition, prosthetic valve dysfunction should always be excluded in a CICU patient presenting with an acute cardiopulmonary decompensation. Multidisciplinary valve teams can assist with challenging valvular pathologies to determine candidacy for potential interventions.

Clinical Institute

Cardiovascular (Heart)

Specialty/Research Institute

Cardiology

Specialty/Research Institute

Critical Care Medicine

Specialty/Research Institute

Surgery

DOI

10.1016/j.ccc.2023.05.002