Why the study?
How should a 44-year-old man with dyspnea, new atrial fibrillation, and moderately severe degenerative mitral regurgitation be managed?
How should a 44-year-old man with dyspnea, new atrial fibrillation, and moderately severe degenerative mitral regurgitation be managed?
This clinical vignette highlights the presentation of degenerative mitral-valve disease with new-onset atrial fibrillation and dyspnea, prompting a discussion on appropriate management.
May aid individualized decisions in degenerative MR with new AF; hypothesis-generating and leaves open need for prospective data.
A 44-year-old man presents with dyspnea and new atrial fibrillation. He received a diagnosis of mild mitral regurgitation at 28 years of age but has not seen a physician in many years. Physical examination reveals a holosystolic murmur and a soft S3. Repeat echocardiography shows a flail posterior leaflet and moderately severe mitral regurgitation. How should this case be managed?
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Elyse Foster (2010) studied this question.
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