![]() | This article is rated C-class on Wikipedia's
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![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Valvular heart disease.
|
This article was the subject of a Wiki Education Foundation-supported course assignment, between 18 November 2019 and 14 December 2019. Further details are available
on the course page. Student editor(s):
Segregg. Peer reviewers:
Bdbwiki1990.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 12:14, 17 January 2022 (UTC)
Hi folks, I'm a 4th year medical student and I'll be working on updates to this page as a part of an elective course at
MUSC. I will be using the wikiproject medicine manual of style, and will be sure that my sources adhere to the
WP:MEDRS. Specifically I think the page probably should be rearranged according to the content sections described in the
WP:MEDMOS. I'm not sure if these sections should be sub-sectioned based on the valve involved or not, if anyone has any strong opinions, feel free to let me know. I think the table in the comparison was a good thought, but it seems a little difficult to read given the size.
I will prioritize updating the diagnosis, treatment, and epidemiology sections in particular. If available, I think chest X-rays and EKGs could be helpful multimedia to add in the diagnosis section.
I plan on updating treatment guidelines based on the 2017 updated Guideline for the Management of Patients with Valvular Heart Disease. I will use additional sources that include Harrison's Principles of Internal Medicine (20th ed) and the 2019 AATS/ACC/ASE/SCAI/STSExpert Consensus Systems of Care Document: A Proposal to Optimize Care for Patients With Valvular Heart Disease.
I will include information about the diseases that will be relevant to the general public (especially in causes, signs/symptoms subheadings), but will try not to restate what is already in the articles for the specific valvular disorders. I'll continue to link to other existing Wikipedia articles that are relevant. I'll also focus on using clear language and avoiding medical jargon, and will review some patient-directed resources that can help me rephrase if necessary.
Segregg (
talk) 20:43, 18 November 2019 (UTC)
Sounds like a good plan!
--
Emilybrennan (
talk) 13:57, 25 November 2019 (UTC)
The following content was removed:
This is a typical Wikipedia phenomenon - just because this discovery was made after 2001 it is mentioned with massive prominence in an article that is otherwise nothing more than a list. I am removing it temporarily per WP:WEIGHT considerations until the page is more mature. JFW | T@lk 11:52, 13 January 2008 (UTC)
... are a lot shorter - just 39 pages. doi: 10.1093/eurhartj/ehl428 JFW | T@lk 12:37, 21 January 2008 (UTC)
Skumin syndrome was added to the intro. Perhaps it ought to be mentioned somewhere, but not in the lead. JFW | T@lk 06:17, 24 October 2011 (UTC)
A table of the 'Valvular heart lesions associated with high maternal and fetal risk during pregnancy' seems like a better format than the list.
I realize that the citations in the pregnancy section have increasing numbers but all point to the same source. — Preceding unsigned comment added by Triggity ( talk • contribs) 16:53, 10 January 2013 (UTC)
Bigger than ever:
The DOIs will be switched on eventually... JFW | T@lk 06:18, 10 June 2014 (UTC)
doi:10.1161/CIRCULATIONAHA.115.016006 JFW | T@lk 09:05, 21 September 2015 (UTC)
doi:10.1161/CIR.0000000000000503 JFW | T@lk 09:42, 21 June 2017 (UTC)
Overall, this article is written well and in a way that reads simply. I did not feel that the content was biased at any point when reading and the sources provided are reliable. Additionally, one of the strengths of this article is the organization of the contents and succinct explanations of the different types of valvular heart diseases. The lead section is broad and to the point. I actually prefer that the written portion is brief and that this section ends with a very organized content table that leads the reader into a very clear outline of the main points made in the article.
You have done an excellent job adding many reputable sources to this page. I do think that there are large parts of discussion where no sources have been included (examples: “Types” lead introduction, “aortic and mitral valve disorders”). Some of this is due to a more definitional description of terms, like “stenosis”, but I do think there is room for improvement here. A few sections could still be expanded upon, such as “Dysplasia” and “Epidemiology”, but overall, the content of this article is very helpful.
You discussed in your talk page the comparison table is difficult to read and I agree with you. The content within it is helpful, but also very dense and it seems to be overwhelming and in ways takes away from the rest of the clean, concise aspects of this article.
Finally, I really liked reading the "treatment" section. The opening line is very succinct and easy to read, while each section that discusses the specific diseases is clear and to the point. Bdbwiki1990 ( talk) 15:26, 9 December 2019 (UTC)
I am planning on removing this section from the page and redistributing the information elsewhere in the page, but wanted to leave the section here in case anyone wanted to reference it or put it back in. - Segregg ( talk) 16:53, 12 December 2019 (UTC)
The following table includes the main types of valvular stenosis and regurgitation. Major types of valvular heart disease not included in the table include mitral valve prolapse, rheumatic heart disease and endocarditis.
Valvular disease | Mitral stenosis | Aortic stenosis | Aortic regurgitation | Mitral regurgitation | Tricuspid regurgitation |
---|---|---|---|---|---|
Prevalence | Most common valvular heart disease in pregnancy [1] | Approximately 2% of people over the age of 65, 3% of people over age 75, and 4% percent of people over age 85 [2] | 2% of the population, equally in males and females. [3] | ||
Main causes and risk factors | Almost always caused by rheumatic heart disease [4] |
Hypertension, diabetes mellitus, hyperlipoproteinemia and uremia may speed up the process. [5] |
Acute
Chronic
|
Acute
Chronic |
|
Hemo dynamics / Patho- physiology |
Progressive obstruction of the mitral ostium causes increased pressure in the left atrium and the pulmonary circulation. [5] Congestion may cause thromboembolism, and atrial hypertension may cause atrial fibrillation. [5] | Obstruction through the aortic ostium causes increased pressure in the left ventricle and impaired flow through the aorta | Insufficiency of the aortic valve causes backflow of blood into the left ventricle during diastole. | Insufficiency of the mitral valve causes backflow of blood into the left atrium during systole. | Insufficiency of the tricuspid valve causes backflow of blood into the right atrium during systole. |
Symptoms |
Symptoms increase with exercise and pregnancy [4] |
|
|
|
|
Medical signs |
Signs increase with exercise and pregnancy [4] |
|
|
In acute cases, the murmur and tachycardia may be only distinctive signs. [5] |
|
Diagnosis |
|
|
|
| |
Treatment |
No therapy is required for asymptomatic patients. Diuretics for any pulmonary congestion or edema. [4] If stenosis is severe, surgery is recommended. [4] Any atrial fibrillation is treated accordingly. [4]
|
No treatment in asymptomatic patients. [4]
Medical therapy and percutaneous balloon valvuloplasty have relatively poor effect.
[4]
|
Also, endocarditis prophylaxis is indicated before dental, gastrointestinal or genitourinary procedures. [4] |
|
|
Follow-up |
|
Hello: I think the classification is wrong. It's the other way around. -- Ortisa ( talk) 15:39, 23 June 2020 (UTC)
![]() | This article is rated C-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | |||||||||||||
|
![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Valvular heart disease.
|
This article was the subject of a Wiki Education Foundation-supported course assignment, between 18 November 2019 and 14 December 2019. Further details are available
on the course page. Student editor(s):
Segregg. Peer reviewers:
Bdbwiki1990.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 12:14, 17 January 2022 (UTC)
Hi folks, I'm a 4th year medical student and I'll be working on updates to this page as a part of an elective course at
MUSC. I will be using the wikiproject medicine manual of style, and will be sure that my sources adhere to the
WP:MEDRS. Specifically I think the page probably should be rearranged according to the content sections described in the
WP:MEDMOS. I'm not sure if these sections should be sub-sectioned based on the valve involved or not, if anyone has any strong opinions, feel free to let me know. I think the table in the comparison was a good thought, but it seems a little difficult to read given the size.
I will prioritize updating the diagnosis, treatment, and epidemiology sections in particular. If available, I think chest X-rays and EKGs could be helpful multimedia to add in the diagnosis section.
I plan on updating treatment guidelines based on the 2017 updated Guideline for the Management of Patients with Valvular Heart Disease. I will use additional sources that include Harrison's Principles of Internal Medicine (20th ed) and the 2019 AATS/ACC/ASE/SCAI/STSExpert Consensus Systems of Care Document: A Proposal to Optimize Care for Patients With Valvular Heart Disease.
I will include information about the diseases that will be relevant to the general public (especially in causes, signs/symptoms subheadings), but will try not to restate what is already in the articles for the specific valvular disorders. I'll continue to link to other existing Wikipedia articles that are relevant. I'll also focus on using clear language and avoiding medical jargon, and will review some patient-directed resources that can help me rephrase if necessary.
Segregg (
talk) 20:43, 18 November 2019 (UTC)
Sounds like a good plan!
--
Emilybrennan (
talk) 13:57, 25 November 2019 (UTC)
The following content was removed:
This is a typical Wikipedia phenomenon - just because this discovery was made after 2001 it is mentioned with massive prominence in an article that is otherwise nothing more than a list. I am removing it temporarily per WP:WEIGHT considerations until the page is more mature. JFW | T@lk 11:52, 13 January 2008 (UTC)
... are a lot shorter - just 39 pages. doi: 10.1093/eurhartj/ehl428 JFW | T@lk 12:37, 21 January 2008 (UTC)
Skumin syndrome was added to the intro. Perhaps it ought to be mentioned somewhere, but not in the lead. JFW | T@lk 06:17, 24 October 2011 (UTC)
A table of the 'Valvular heart lesions associated with high maternal and fetal risk during pregnancy' seems like a better format than the list.
I realize that the citations in the pregnancy section have increasing numbers but all point to the same source. — Preceding unsigned comment added by Triggity ( talk • contribs) 16:53, 10 January 2013 (UTC)
Bigger than ever:
The DOIs will be switched on eventually... JFW | T@lk 06:18, 10 June 2014 (UTC)
doi:10.1161/CIRCULATIONAHA.115.016006 JFW | T@lk 09:05, 21 September 2015 (UTC)
doi:10.1161/CIR.0000000000000503 JFW | T@lk 09:42, 21 June 2017 (UTC)
Overall, this article is written well and in a way that reads simply. I did not feel that the content was biased at any point when reading and the sources provided are reliable. Additionally, one of the strengths of this article is the organization of the contents and succinct explanations of the different types of valvular heart diseases. The lead section is broad and to the point. I actually prefer that the written portion is brief and that this section ends with a very organized content table that leads the reader into a very clear outline of the main points made in the article.
You have done an excellent job adding many reputable sources to this page. I do think that there are large parts of discussion where no sources have been included (examples: “Types” lead introduction, “aortic and mitral valve disorders”). Some of this is due to a more definitional description of terms, like “stenosis”, but I do think there is room for improvement here. A few sections could still be expanded upon, such as “Dysplasia” and “Epidemiology”, but overall, the content of this article is very helpful.
You discussed in your talk page the comparison table is difficult to read and I agree with you. The content within it is helpful, but also very dense and it seems to be overwhelming and in ways takes away from the rest of the clean, concise aspects of this article.
Finally, I really liked reading the "treatment" section. The opening line is very succinct and easy to read, while each section that discusses the specific diseases is clear and to the point. Bdbwiki1990 ( talk) 15:26, 9 December 2019 (UTC)
I am planning on removing this section from the page and redistributing the information elsewhere in the page, but wanted to leave the section here in case anyone wanted to reference it or put it back in. - Segregg ( talk) 16:53, 12 December 2019 (UTC)
The following table includes the main types of valvular stenosis and regurgitation. Major types of valvular heart disease not included in the table include mitral valve prolapse, rheumatic heart disease and endocarditis.
Valvular disease | Mitral stenosis | Aortic stenosis | Aortic regurgitation | Mitral regurgitation | Tricuspid regurgitation |
---|---|---|---|---|---|
Prevalence | Most common valvular heart disease in pregnancy [1] | Approximately 2% of people over the age of 65, 3% of people over age 75, and 4% percent of people over age 85 [2] | 2% of the population, equally in males and females. [3] | ||
Main causes and risk factors | Almost always caused by rheumatic heart disease [4] |
Hypertension, diabetes mellitus, hyperlipoproteinemia and uremia may speed up the process. [5] |
Acute
Chronic
|
Acute
Chronic |
|
Hemo dynamics / Patho- physiology |
Progressive obstruction of the mitral ostium causes increased pressure in the left atrium and the pulmonary circulation. [5] Congestion may cause thromboembolism, and atrial hypertension may cause atrial fibrillation. [5] | Obstruction through the aortic ostium causes increased pressure in the left ventricle and impaired flow through the aorta | Insufficiency of the aortic valve causes backflow of blood into the left ventricle during diastole. | Insufficiency of the mitral valve causes backflow of blood into the left atrium during systole. | Insufficiency of the tricuspid valve causes backflow of blood into the right atrium during systole. |
Symptoms |
Symptoms increase with exercise and pregnancy [4] |
|
|
|
|
Medical signs |
Signs increase with exercise and pregnancy [4] |
|
|
In acute cases, the murmur and tachycardia may be only distinctive signs. [5] |
|
Diagnosis |
|
|
|
| |
Treatment |
No therapy is required for asymptomatic patients. Diuretics for any pulmonary congestion or edema. [4] If stenosis is severe, surgery is recommended. [4] Any atrial fibrillation is treated accordingly. [4]
|
No treatment in asymptomatic patients. [4]
Medical therapy and percutaneous balloon valvuloplasty have relatively poor effect.
[4]
|
Also, endocarditis prophylaxis is indicated before dental, gastrointestinal or genitourinary procedures. [4] |
|
|
Follow-up |
|
Hello: I think the classification is wrong. It's the other way around. -- Ortisa ( talk) 15:39, 23 June 2020 (UTC)