Assessment of mitral regurgitation

T. Irvine, X. K. Li, David Sahn, Antoinette Kenny

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Echo-Doppler is an extremely effective tool both for determining the pathology responsible for MR and for making an assessment of its severity. In the majority of patients, an "eyeball" grading of severity on a range from mild to severe is generally sufficient for clinical purposes. More formal quantitative approaches may be required in cases where there is discrepancy between this eyeball assessment and other clinical findings, and all cardiac sonographers should be conversant with at least one of these techniques. Exercise echocardiography may be required to assess the degree of regurgitation during the haemodynamic conditions occurring at the time of the patient's symptoms. Exercise or pharmacological stress echocardiography may be also required in those patients with MR related to dynamic myocardial ischaemia. Serial measurement of left ventricular dimensions and pulmonary artery pressure is vitally important to detect impending problems with left ventricular dysfunction or pulmonary hypertension. Finally, as mitral valve repair becomes a safer procedure contemplated for asymptomatic patients, serial monitoring of EROA may also become advantageous to aid the decision of timing of valve surgery.

Original languageEnglish (US)
JournalHeart
Volume88
Issue numberSUPPL. 4
StatePublished - Nov 2002

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Mitral Valve Insufficiency
Exercise
Stress Echocardiography
Decision Support Techniques
Physiologic Monitoring
Left Ventricular Dysfunction
Mitral Valve
Pulmonary Hypertension
Pulmonary Artery
Myocardial Ischemia
Echocardiography
Hemodynamics
Pharmacology
Pathology
Pressure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Irvine, T., Li, X. K., Sahn, D., & Kenny, A. (2002). Assessment of mitral regurgitation. Heart, 88(SUPPL. 4).

Assessment of mitral regurgitation. / Irvine, T.; Li, X. K.; Sahn, David; Kenny, Antoinette.

In: Heart, Vol. 88, No. SUPPL. 4, 11.2002.

Research output: Contribution to journalArticle

Irvine, T, Li, XK, Sahn, D & Kenny, A 2002, 'Assessment of mitral regurgitation', Heart, vol. 88, no. SUPPL. 4.
Irvine T, Li XK, Sahn D, Kenny A. Assessment of mitral regurgitation. Heart. 2002 Nov;88(SUPPL. 4).
Irvine, T. ; Li, X. K. ; Sahn, David ; Kenny, Antoinette. / Assessment of mitral regurgitation. In: Heart. 2002 ; Vol. 88, No. SUPPL. 4.
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