Mitral regurgitation
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Synonyms and Keywords: Mitral insufficiency, mitral regurge, MR.
Mitral regurgitation (MR), a valvular heart disease also known as mitral insufficiency, is the abnormal leaking of blood through the mitral valve, from the left ventricle into the left atrium of the heart.
Pathophysiology
Etiology
Symptoms
Diagnostic Studies
There are many diagnostic tests that have abnormal results in the presence of mitral regurgitation.
These tests suggest the diagnosis of mitral regurgitation and may indicate to the physician that further testing is warranted. For instance, the electrocardiogram (ECG) in long standing mitral regurgitation may show evidence of left atrial enlargement and left ventricular hypertrophy.
Atrial fibrillation may also be noted on the ECG in individuals with chronic mitral regurgitation.
The ECG may not show any of these finding in the setting of acute mitral regurgitation.
The quantification of mitral regurgitation usually employs imaging studies such as echocardiography or magnetic resonance angiography of the heart.
Chest x-ray | Echocardiography
Aetiology and morphological features in 2-D Echocardiography
Severity Assessment
Quantification
Severity (Summary)
Differential Diagnosis
Treatment
The treatment of mitral regurgitation depends on the acuteness of the disease and whether there are associated signs of hemodynamic compromise.
Acute Mitral Regurgitation | Chronic Mitral Regurgitation
Surgical Indications
Surgical Options
Surgery Indications | Timing of surgery | ACC/AHA Guidelines