Abstract
The need for specialization arises when a condition is frequent, its management is complex and limitations in current care exist. Moderate or severe heart valve disease now occurs in 13% aged ≥75 as a result of degenerative diseases reflecting expanding life-spans.1 Management decisions may often be complex2 and there is an abundant evidence of limitations in care.3,4 National and International consensus documents, therefore, recommend specialist multidisciplinary valve teams.2,4 Specialist valve services (Table 1) now exist in 60% of tertiary centres in the UK and 11% of district general hospitals.5 Despite …
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