The best initial test for all valvular heart disease is the echocardiogram.
Transesophageal echo is generally both more sensitive and more specific than transthoracic echo.
Transesophageal echo is generally both more sensitive and more specific than transthoracic echo.
Catheterization is the most accurate test. Catheterization allows the most precise measurement of valvular diameter, as well as the exact pressure gradient across the valve.
There is nothing specific about the EKG in those with valvular heart disease. The EKG is expected to show hypertrophy of chambers, but you cannot confirm a diagnosis of valvular heart disease from an EKG alone.
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