Mitral regurgitation follow up

Resident Survival Guide

Mitral Regurgitation Microchapters
Home
Patient Information
Overview
Classification
Pathophysiology
Causes
Differentiating Mitral Regurgitation from other Diseases
Epidemiology and Demographics
Natural History, Complications and Prognosis
Diagnosis
Stages
History and Symptoms
Physical Examination
Chest X Ray
Electrocardiogram
Echocardiography
Cardiac MRI
Cardiac Catheterization
Treatment
Overview
Acute Mitral Regurgitation Treatment
Chronic Mitral Regurgitation Treatment
Surgery
Follow Up
Case Studies
Case #1
Mitral regurgitation follow up On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Mitral regurgitation follow up All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA onMitral regurgitation follow up
CDC on Mitral regurgitation follow up
Mitral regurgitation follow up in the news
Blogs on Mitral regurgitation follow up
Directions to Hospitals Treating Mitral regurgitation
Risk calculators and risk factors for Mitral regurgitation follow up

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Overview

Regular follow up is recommended among patients with asymptomatic mitral regurgitation (MR) and preserved left ventricular ejection fraction.

Follow Up

Echocardiography is performed for follow up among asymptomatic patients with MR to assess the left ventricular ejection fraction (LVEF) and end-systolic dimension. The frequency of follow up with an echocardiogram among asymptomatic patients with MR and normal LVEF is as follows:

• Mild MR: Every 3-5 years
• Moderate MR: Every 1-2 years
• Severe MR: Every 6-12 months (the frequency increases if the the LV dilatation increases)

2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Recommendations for Diagnostic Testing: Initial Diagnosis of Chronic MR Referenced studies that support the recommendations are summarized in the Online Data Supplement

Class I

1.   In patients with known or suspected primary MR, TTE is indicated for baseline evaluation of LV size and function, RV function, LA size, pulmonary artery pressure, and the mechanism and severity of primary MR (Stages A to D) 2.   In patients with primary MR, when TTE provides insufficient or discordant information, TEE is indicated for evaluation of the severity of MR, mechanism of MR, and status of LV function (Stages B to D) 3.   In patients with primary MR, CMR is indicated to assess LV and RV volumes and function and may help with assessing MR severity when there is a discrepancy between the findings on clinical assessment and echocardiography 4.   In patients with severe primary MR undergoing mitral intervention, intraoperative TEE is indicated to establish the anatomic basis for primary MR (Stages C and D) and to guide repair