TY - CHAP M1 - Book, Section TI - Valvular Emergencies A1 - Alley, William D. A1 - Mahler, Simon A. A2 - Tintinalli, Judith E. A2 - Stapczynski, J. Stephan A2 - Ma, O. John A2 - Yealy, Donald M. A2 - Meckler, Garth D. A2 - Cline, David M. Y1 - 2016 N1 - T2 - Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e AB - In contrast to the dramatic symptoms associated with acute valvular dysfunction, most valvular heart disease encountered in the ED is chronic and incidentally noted on exam. Adaptive responses preserve cardiac function and can delay the diagnosis of chronic valvular disease for decades but contribute to eventual cardiac dysfunction. Compared with the general population, patients with clinically evident valvular heart disease have a 2.5-fold higher death rate and a 3-fold increased rate of stroke.1 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1121504025 ER -