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Valvular heart disease and the military patient
  1. D A Holdsworth1,
  2. J Mulae2,
  3. A Williams3,
  4. S Jackson4 and
  5. J Chambers5
  1. 1Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK
  2. 2Horton General Hospital, Banbury, Oxfordshire, UK
  3. 3Cardiology Department, Royal Gwent Hospital, Newport, South Wales, UK
  4. 4Department of Occupational Medicine, Army Medical Directorate, Andover, UK
  5. 5Guy's and St Thomas' Hospital, London, UK
  1. Correspondence to Maj David A Holdsworth, Department of Physiology, Anatomy and Genetics, Sherrington Building, University of Oxford, Oxford OX1 3PT, UK; david.holdsworth{at}


Valvular heart disease refers to all inherited and acquired abnormalities impairing the function of one or more of the four cardiac valves. Pathology may be of the valve leaflets themselves, of the subvalvular apparatus or of the annulus or other surrounding structures that influences valve function. This paper examines the most common valve lesions, with specific reference to a military population; it focuses on detection and initial management of valve disease in a young adult population and specifically describes how the diagnosis and treatment of valve disease impacts military medical grading.

  • Occupational cardiology
  • Military medicine

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