Get the latest on valvular heart disease: TAVR vs SAVR, choice of valve type, rheumatic heart disease, antibiotic prophylaxis for endocarditis, who needs an echocardiogram, and anticoagulation goals with tips from cardiologist, Dr Eli Gelfand, Section Chief of General Cardiology at Beth Israel Deaconess Medical Center in Boston and an Assistant Professor of Medicine at Harvard Medical School. Correspondent Dr Kate Grant joins us for this conversation w/Dr Gelfand about his common sense approach to the evaluation and management of valvular heart disease. Written by Kate Grate, MD and Matthew Watto, MD. Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Disclaimer 00:35 Intro 02:55 Guest bio 04:15 Getting to know our guest 12:18 Picks of the week 17:07 Clinical case of aortic stenosis 18:00 Types of valve procedures available and initial workup for valvular disease 26:11 Counseling patients about a heart murmur 29:33 Symptoms in valvular heart disease 31:07 Who needs an echo? 32:36 Who needs a referral? 34:40 Frequency of echocardiogram 36:25 Medications for valvular heart disease 39:12 Diuretics and aortic stenosis 40:40 Medication for mitral stenosis and anticoagulants in valvular heart disease 43:31 INR goals and use of ASA by valve type and position 45:23 Endocarditis prophylaxis 48:50 Rheumatic heart disease 51:55 Valvulitis and a quick history lesson 53:50 Transaortic valve replacement 57:58 Multidisciplinary teams and how to determine if valve is causing symptoms 62:14 Take home points 63:47 Closing thoughts from The Curbsiders 66:15 Outro Tags: valve, heart, disease, valvular, cardiomyopathy, failure, systolic, murmur, aortic, mitral, tricuspid, surgery, tavr, diuretic, rheumatic, stenosis, regurgitation, echo, echocardiogram, repair, replacement, inr, anticoagulation, assistant, care, doctor, education, family, foam, foamed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student