Key result
Comprehensive imaging guides accurate assessment and tailored surgical or interventional management of chronic ischemic MR.
Why the study?
Ischaemic mitral regurgitation is an independent predictor of cardiovascular events and death, necessitating updated evaluation and management strategies.
This review summarizes current recommendations for imaging assessment and recent trial data on interventional and surgical management of chronic ischaemic mitral regurgitation.
Supports imaging-guided tailored management in chronic ischaemic mitral regurgitation; leaves open optimal strategies pending prospective trials.
Ischaemic mitral regurgitation is a relatively common finding in patients with acute or chronic coronary disease, as a consequence of left ventricular remodelling.Irrespective of its severity, ischaemic mitral regurgitation is an independent predictor of cardiovascular events and death.In this review, we discuss the current recommendations for a comprehensive evaluation of mitral regurgitation mechanism and severity, using standard and novel imaging techniques, and also the most recent results from randomized trials regarding complex interventional and surgical treatment choices, according to specific mechanisms and patient characteristics.
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Vinereanu et al. (2017) conducted a review in Chronic Ischaemic Mitral Regurgitation. Surgical and interventional management was evaluated. Chronic ischaemic mitral regurgitation requires comprehensive imaging for accurate assessment and tailored management using surgical or interventional techniques.
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