The current diagnosis and treatment of high-risk patients with chronic primary and secondary mitral valve regurgitation

Mitral valve regurgitation (MR) is due primarily to either primary degeneration of the mitral valve with Barlow's or fibroelastic disease or is secondary to ischemic or nonischemic cardiomyopathies. Echocardiography is essential to assess MR etiology and severity, the remodeling of cardiac cham...

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Bibliographic Details
Published in:Future cardiology 2022-01, Vol.18 (1), p.67-87
Main Author: Henning, Robert J
Format: Article
Language:English
Subjects:
Barlow's disease
cardiac magnetic resonance imaging
echocardiography
fibroelastic deficiency
functional mitral regurgitation
MitraClip
mitral valve apparatus
mitral valve repair
mitral valve replacement
primary mitral valve degeneration
secondary mitral regurgitation
transcatheter mitral valve replacement
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Summary:Mitral valve regurgitation (MR) is due primarily to either primary degeneration of the mitral valve with Barlow's or fibroelastic disease or is secondary to ischemic or nonischemic cardiomyopathies. Echocardiography is essential to assess MR etiology and severity, the remodeling of cardiac chambers and to characterize longitudinal chamber changes to determine optimal therapies. Surgery is recommended for severe primary MR if persistent symptoms are present or if left ventricle dysfunction is present with an EF
ISSN:1479-6678
1744-8298
DOI:10.2217/fca-2020-0189