June 22, 2026Journal of the American College of Cardiology125 citations
View Full Paper2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation
Key Result
A structured approach to evaluation and timely intervention by an experienced heart team can help clarify decision making and prevent adverse outcomes in patients with mitral regurgitation.
Key Points
- To provide a structured consensus pathway for managing mitral regurgitation (MR) based on its etiology and severity.
- Emphasizes assessment of MR etiology, mechanism, and severity.
- Recommends structured evaluation via clinical findings and echocardiographic imaging.
- Suggests timely intervention by an experienced heart team for treatment.
- Prompt recognition of MR improves assessment and decision making.
- Structured evaluation supports effective treatment planning to prevent complications.
- Timely intervention can prevent left ventricular dysfunction and improve patient outcomes.
Structured PICO
P
Population
Patients with mitral regurgitation (MR)
I
Intervention
Structured approach to evaluation and management, including precise echocardiographic imaging and timely intervention by an experienced heart team
The 2017 ACC Expert Consensus Decision Pathway provides a structured framework for the evaluation and timely intervention of mitral regurgitation.
Abstract
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.
Expert Takes1 quote
“This expert consensus decision pathway provides the clinician with additional tools to improve the care of MR patients. It can serve as a guide to patient assessment and individualized decision making.”
Cite This Study
O’Gara et al. (Thu,) conducted a review in Mitral regurgitation. Management of mitral regurgitation was evaluated. A structured approach to evaluation and timely intervention by an experienced heart team can help clarify decision making and prevent adverse outcomes in patients with mitral regurgitation.