Do not request annual follow-up echocardiography in patients with known mild-to-moderate valvular disease in the absence of new symptoms or clinical events and in patients with known mild left ventricular dysfunction in the absence of new symptoms or clinical events.

Do not request annual follow-up echocardiography in patients with known mild-to-moderate valvular disease in the absence of new symptoms or clinical events and in patients with known mild left ventricular dysfunction in the absence of new symptoms or clinical events.

Since mild-moderate valvular disease generally has a slow progression, echocardiography should be performed more frequently only in the presence of changes in clinical status. Transthoracic echocardiography is indicated to investigate the appearance of new symptoms,...