Unmet needs in valvular heart disease

Author:

Messika-Zeitoun David1ORCID,Baumgartner Helmut2ORCID,Burwash Ian G1,Vahanian Alec3ORCID,Bax Jeroen4,Pibarot Philippe5ORCID,Chan Vince6,Leon Martin7,Enriquez-Sarano Maurice8ORCID,Mesana Thierry9,Iung Bernard10

Affiliation:

1. Division of Cardiology, University of Ottawa Heart Institute , Ottawa, Ontario , Canada

2. Department of Cardiology III—Adult Congenital and Valvular Heart Disease, University Hospital Muenster , Muenster , Germany

3. Université Paris Cité , Paris , France

4. Department of Cardiology, Leiden University Medical Center , Leiden , The Netherlands

5. Division of Cardiology, Québec Heart & Lung Institute—Laval University , Québec, Quebec , Canada

6. Division of Cardiac surgery, University of Ottawa Heart Institute , Ottawa, Ontario , Canada

7. Columbia University Medical Center and Cardiovascular Research Foundation , New York , USA

8. Minneapolis Heart Institute , Minneapolis, MN , USA

9. Division of Cardiac surgery, University of Ottawa Heart Institute , Ottawa , Ontario, Canada

10. Cardiology Department, Bichat Hospital, APHP, Université Paris Cité , France

Abstract

Abstract Valvular heart disease (VHD) is the next epidemic in the cardiovascular field, affecting millions of people worldwide and having a major impact on health care systems. With aging of the population, the incidence and prevalence of VHD will continue to increase. However, VHD has not received the attention it deserves from both the public and policymakers. Despite important advances in the pathophysiology, natural history, management, and treatment of VHD including the development of transcatheter therapies, VHD remains underdiagnosed, identified late, and often undertreated with inequality in access to care and treatment options, and there is no medication that can prevent disease progression. The present review article discusses these gaps in the management of VHD and potential actions to undertake to improve the outcome of patients with VHD.

Funder

Edwards Lifesciences

Medtronic

Pi-Cardia

Abbott

Boston Scientific

Edwards

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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