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Valvular heart disease (fitness for anaesthesia)

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Valvular heart disease is a relative risk factor for general anaesthesia. Those patients with previous episodes of endocarditis or the presence of prosthetic valves will require prophylaxis in the form of antibiotics and anticoagulation.

Patients with symptomatic aortic valve disease, particularly aortic stenosis, have very little functional reserve and so the risk-benefit equation must be carefully assessed. Mitral valve disease has a more indolent course; an investigation into cardiac function is warranted before proceeding, e.g. echocardiography.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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