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Internal Medicine
Echocardiography should assess not only the valvular lesion but also the compensatory
changes of the heart in response to the lesion.
Timing of surgical intervention often correlates with outcome.
Most patients with acquired valvular heart disease are at risk for developing endocarditis
and should receive prophylactic antibiotics.
1. Kasper L., Braunwald E., Harrison’s principles of Internal medicine, 16th Edition, Valvular
Heart Diseases, pages 1390-1402.
2. Myers R. Allen, National Medical Series for independent Study (NMS) 3rd edition Medicine,
Valvular Heart Diseases, 29-37.