The first step in evaluation is to as- sess valve function to ensure symptoms are not caused by persistent or recurrent stenosis, regurgitation, or a valve complication. The next step is to evaluate and treat any concurrent cardiac disease and noncardiac conditions that may be the cause of symptoms. Symp- toms also may be attributable to irreversible conse- quences of valve disease, including LV systolic and diastolic dysfunction, pulmonary hypertension, and RV dysfunction. Treatment of symptoms for these pa- tients is based on GDMT for HF and/or pulmonary hy- pertension. 2.7.4. Periodic Imaging After Valve Intervention Recommendation for Periodic Imaging After Valve Intervention COR LOE Recommendation In asymptomatic patients with any type of valve intervention, a baseline postprocedural TTE followed by periodic monitoring with TTE is recommended, depending on type of intervention, length of time after intervention, ventricular function, and concurrent cardiac conditions. Synopsis A TTE is useful after either catheter-based or surgi- cal intervention to provide a baseline measurement of valve function and the status of the ventricle. Repeat TTE is recommended with either new symptoms or a change in the physical examination. The timing of pe- riodic follow-up imaging is based on the type of valve intervention. Table 12. 