Skip Navigation


European Heart Journal Advance Access originally published online on April 25, 2007
European Heart Journal 2007 28(10):1267-1268; doi:10.1093/eurheartj/ehm095
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
28/10/1267-a    most recent
ehm095v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Vahanian, P. A.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Vahanian, P. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Guidelines on the management of valvular heart disease: reply

Pr Alec Vahanian

Service de Cardiologie
Hôpital Bichat
46 rue Henri Huchard
75018 Paris
France

Tel: +33 1 40 25 67 35/60 Fax: +33 1 40 25 67 32 E-mail address: alec.vahanian{at}bch.aphp.fr

We read with interest Dr Aiguar–Souto et al.'s comments regarding the recent Guidelines on the Management of Valvular Heart Disease.1

Medical management, including vasodilators, is recommended in patients with chronic regurgitant valve disease who are pregnant and have symptoms. We agree with the comment in the letter that ACE-inhibitors should be avoided during pregnancy and it is already clearly stated in the methods section of guidelines ‘the use of vasodilators should take into account the contraindication of ACE-inhibitors and angiotensin receptor blockers’. We also agree with the reasons detailed in the letter, which, unfortunately, cannot be developed in a document of guidelines format.

More generally, if possible, patients with left ventricular ejection fraction < 40% should probably be dissuaded from becoming pregnant due to the high risk of complications.2

References

  1. Vahanian A, Baumgartner H, Bax J, Butchart E, Dion R, Filippatos G, Flachskampf F, Hall R, Iung B, Kasprzak J, Nataf P, Tornos P, Torracca L, Wenink A, Priori SG, Blanc JJ, Budaj A, Camm J, Dean V, Deckers J, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Tamargo J, Zamorano JL, Zamorano JL, Angelini A, Antunes M, Fernandez MA, Gohlke-Baerwolf C, Habib G, McMurray J, Otto C, Pierard L, Pomar JL, Prendergast B, Rosenhek R, Uva MS, Tamargo J. Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J (2007) 28:230–68.[Free Full Text]
  2. Oakley C, Child A, Iung B, Presbitero P, Tornos P. Task Force on the Management of Cardiovascular Diseases During Pregnancy of the European Society of Cardiology. Expert consensus document on management of cardiovascular diseases during pregnancy. Eur Heart J (2003) 24:761–781.[Free Full Text]

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?



This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
28/10/1267-a    most recent
ehm095v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Vahanian, P. A.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Vahanian, P. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?