2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation

Mitral regurgitation (MR) is a complex valve lesion that can pose significant management challenges for the cardiovascular clinician. This Expert Consensus Document emphasizes that recognition of MR should prompt an assessment of its etiology, mechanism, and severity, as well as indications for trea...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2017-11, Vol.70 (19), p.2421-2449
Main Authors: O'Gara, Patrick T., Grayburn, Paul A., Badhwar, Vinay, Afonso, Luis C., Carroll, John D., Elmariah, Sammy, Kithcart, Aaron P., Nishimura, Rick A., Ryan, Thomas J., Schwartz, Allan, Stevenson, Lynne Warner
Format: Article
Language:English
Subjects:
echocardiography
Expert Consensus Decision Pathway
mitral regurgitation
mitral valve
transcatheter
valve repair
valve surgery
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Summary:Mitral regurgitation (MR) is a complex valve lesion that can pose significant management challenges for the cardiovascular clinician. This Expert Consensus Document emphasizes that recognition of MR should prompt an assessment of its etiology, mechanism, and severity, as well as indications for treatment. A structured approach to evaluation based on clinical findings, precise echocardiographic imaging, and when necessary, adjunctive testing, can help clarify decision making. Treatment goals include timely intervention by an experienced heart team to prevent left ventricular dysfunction, heart failure, reduced quality of life, and premature death.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2017.09.019