Key result
Echocardiographic assessment of ischemic mitral regurgitation requires an integrative approach evaluating regurgitation severity, left ventricular dysfunction, and mitral valve deformation.
Comprehensive echocardiographic assessment of ischemic mitral regurgitation, including mechanism and severity, is essential for tailoring rational treatment strategies.
Integrative echocardiographic assessment may guide ischemic mitral regurgitation management; leaves open prospective validation of parameter thresholds.
Ischemic mitral regurgitation is an important consequence of LV remodeling after myocardial infarction. Echocardiographic diagnosis and assessment of ischemic mitral regurgitation are critical to gauge its adverse effects on prognosis and to attempt to tailor rational treatment strategy. There is no single approach to the echocardiographic assessment of ischemic mitral regurgitation: standard echocardiographic measures of mitral regurgitation severity and of LV dysfunction are complemented by assessments of displacement of the papillary muscles and quantitative indices of mitral valve deformation. Development of novel approaches to understand mitral valve geometry by echocardiography may improve understanding of the mechanism, clinical trajectory, and reparability of ischemic mitral regurgitation.
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Dudzinski et al. (2014) conducted a review in Ischemic mitral regurgitation. Echocardiographic assessment was evaluated. Echocardiographic assessment of ischemic mitral regurgitation requires an integrative approach evaluating regurgitation severity, left ventricular dysfunction, and mitral valve deformation.
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