ALD n° 5 - Cardiopathies valvulaires et congénitales graves chez l’adulte - ALD n° 5 - Severe valvular and congenital heart diseases in adults

Has

Description

Posted on Jul 21 2008 The aim of this guide for medical practitioners is to describe the optimal theorical care and the clinical pathway for a patient entering the ALD [Long term condition] scheme, severe valvular heart disease. The aim of this guide for medical practitioners is to describe the optimal theorical care and the clinical pathway for a patient entering the ALD [Long term condition] scheme, severe valvular heart disease. Posted on Jul 21 2008

Sujets

• Valvulopathie cardiaque
• Cardiopathie
• Médecine

Informations

• Publié par: haute-autorite-sante-maladies-cardiaques
• Publié le: 01 juin 2008
• Nombre de lectures: 19
• Licence : En savoir +
  Paternité, pas d'utilisation commerciale, partage des conditions initiales à l'identique
• Langue: English

Extrait

 

 

 

                         

LONG-TERM CONDITIONS GUIDE

Severe valvular and congenital heart diseases in adults

         

June 2008

 

                           

 

This doctors’ guide is available for download at  www.has-sante.fr

  Haute Autorité de Santé Communication Department   2, avenue du Stade-de-France – F 93218 Saint-DenisLa Plaine Cedex Phone: [phone] - Fax: [phone]  

                        This document was validated by the HAS Board in June 2008. © Haute Autorité de Santé – 2008

 

 

ALD Guide for doctors – Severe valvular and congential heart diseases in adults  

Contents

List of abbreviations ...........................................................................3  

Introduction

1.   1.1  1.2  1.3  1.4  1.5  1.6  1.7 

2.   2.1  2.2  2.3  2.4  2.5  2.6  2.7 

...............................................................................6  

Initial assessment .....................................................................8  

Objectives ............................................................................ 8  Professionals involved ........................................................ 8  Diagnosis ............................................................................. 8  Complementary tests ........................................................ 10  Risk of infectious endocarditis assessment...................... 11  Thromboembolic risk assessment .................................... 11  Specific case of pregnant women or women wishing to become pregnant .............................................................. 12 

Therapeutic management .......................................................13  

Objectives .......................................................................... 13  Professionals involved ...................................................... 13  Self management education ............................................. 14  Pharmacological treatments ............................................. 15  Invasive treatment ............................................................. 18  Procedure in the event of non-cardiac surgery ................ 20  Implantable medical devices............................................. 21 

3.   Follow-up .............................................................................23   3.1 Objectives .......................................................................... 23  3.2 Professionals involved ...................................................... 23  3.3 Clinical monitoring ............................................................. 25  3.4 Additional tests .................................................................. 25 

Appendix 1.   Participants .................................................................27  

Appendix 2.   Target INR in the case of a mechanical prosthesis ......28  

Appendix 3.   Self-measurement and self-monitoring in the case of VKA treatment ........................................................................29  

HAS / Department of Chronic Diseases and Patient Support June 2008

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ALD Guide for doctors – Severe valvular and congential heart diseases in adults  

Appendix 4.   Management of valvular heart conditions ....................30  

Appendix 5.   Management of complex congenital heart conditions ..38  

Appendix 6   Indications for coronary angiography ...........................40  

Appendix 7.   References ..................................................................41            

           

 

  Updating of doctors’ guides and lists for long-term conditions    The long-term conditions guides produced by HAS are revised every three years.

This document may be downloaded from www.has-sante.fr  

HAS / Department of Chronic Diseases and Patient Support June 2008 -2-