Valvular heart disease
| Classification according to ICD-10 | |
|---|---|
| I05.0 | Mitral valve stenosis - mitral valve obstruction (rheumatic) |
| I06.0 | Rheumatic aortic stenosis |
| I07.0 | Tricuspid valve stenosis - tricuspid valve stenosis (rheumatic) |
| I08 | Multiple heart valve diseases |
| I09.8 | Other specified rheumatic heart diseases - Rheumatic disease of the pulmonary valve |
| I34.2 | Non-rheumatic mitral valve stenosis |
| I35.0 | Aortic stenosis |
| I36.0 | Non-rheumatic tricuspid valve stenosis |
| I37.0 | Pulmonary valve stenosis |
| Q22 | Congenital malformations of the pulmonary and tricuspid valves |
| Q23 | Congenital malformations of the aortic and mitral valves |
| ICD-10 online (WHO version 2019) | |
Heart valve defects or valve vitia is the generic term in medicine for congenital or acquired functional disorders of one or more heart valves .
A heart valve defect ( Vitium cordis ) can affect any of the four heart valves, whereby the valves in the left heart ( aortic and mitral valves ) are affected significantly more frequently than those in the right heart ( pulmonary and tricuspid valves ). The functional disorder can consist of a narrowing ( stenosis ), an incapacity to work ( insufficiency ) or a combination of both ( combined vitium ).
The severity of heart valve disease can be assessed using the criteria of the NYHA classification . Mild heart valve defects do not cause any symptoms and do not require any special therapy . High-grade vitia, on the other hand, are usually symptomatic and must be treated frequently after a careful cardiological examination. Since it is hardly possible to influence it with medication, surgical therapy is usually recommended, either as a valve reconstruction or as a valve replacement . In rare cases of valve stenosis, dilation as part of a cardiac catheter treatment is possible and useful.
If necessary, patients with a heart valve defect must receive endocarditis prophylaxis to prevent bacterial infection of the heart valve ( endocarditis ) . For this purpose, an antibiotic is prescribed once or twice if bacteria are present or expected in the blood because previously damaged heart valves show a higher risk of being damaged by bacterial inflammation.
Overview
- Aortic valve stenosis (aortic stenosis)
- Aortic valve insufficiency (aortic regurgitation)
- Mitral valve stenosis (mitral stenosis)
- Mitral valve regurgitation (mitral regurgitation)
- Pulmonary valve stenosis (pulmonary stenosis)
- Pulmonary valve insufficiency (pulmonary insufficiency)
- Tricuspid valve stenosis (tricuspid stenosis)
- Tricuspid regurgitation (tricuspid regurgitation)
- Tricuspid atresia
See also
- Heart valve replacement
- Heart valve reconstruction
- Aortic valve replacement
- Aortic valve reconstruction
literature
- Hans Joachim Geißler et al .: Heart valve surgery today: indication, surgical technique and selected aspects of aftercare for acquired heart valve diseases . In: Dtsch Arztebl Int . No. 106 (13) , 2009, pp. 224-233 ( Article ).
- Klaus Holldack, Klaus Gahl: Auscultation and percussion. Inspection and palpation. Thieme, Stuttgart 1955; 10th, revised edition, ibid 1986, ISBN 3-13-352410-0 , pp. 98-147, 148-181 and more often.
- Herbert Reindell , Helmut Klepzig: diseases of the heart and blood vessels. In: Ludwig Heilmeyer (ed.): Textbook of internal medicine. Springer-Verlag, Berlin / Göttingen / Heidelberg 1955; 2nd edition ibid. 1961, pp. 450-598, here: pp. 522-534 ( Die Herzklappen Fehler ).
Individual evidence
- ↑ Reinhard Larsen: Anesthesia and intensive medicine in cardiac, thoracic and vascular surgery. (1st edition 1986) 5th edition. Springer, Berlin / Heidelberg / New York et al. 1999, ISBN 3-540-65024-5 , p. 220.
