Valvular heart disease often presents gradually— often slowly becoming more fatigued, less active, or more short of breath over time— making it easy for symptoms to be attributed to aging or deconditioning. In this episode, Liz Rohr sits down with structural heart nurse practitioner Christy Cantey, FNP, to discuss how primary care clinicians can recognize subtle symptoms of valve disease, know when an echocardiogram is appropriate, and understand what happens after a patient is referred to a structural heart program.
They also discuss modern transcatheter valve procedures—including TAVR and TEER—and how these minimally invasive treatments have changed outcomes for patients with aortic stenosis and other valvular diseases.
Timestamps
00:00 Meet Christy Cantey, NP
02:02 What Is Structural Heart Disease?
03:22 Understanding Modern Valve Procedures
06:05 Symptoms That Should Raise Concern
07:28 Two Questions That Reveal Functional Decline
08:51 Why Patients Often Don't Realize How Sick They Feel
09:47 The Challenge of Detecting Heart Murmurs
11:09 When to Order an Echocardiogram
12:07 Why Early Referral Matters
15:35 Working With Structural Heart Programs
18:15 What TAVR and Valve Procedures Are Really Like
20:56 Primary Care Follow-Up After Valve Intervention
23:19 Long-Term Monitoring and Annual Echocardiograms
26:17 How to Counsel Patients Who Are Hesitant About Treatment
32:32 Clinical Pearls and Resources for Learning More
For a full transcript and conversation chapters, visit the blog http://www.realworldnp.com/blog/valve-disease-primary-care
______________________________
© 2026 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details.