Congestive heart failure and mitral regurgitation

Congestive Heart Failure Microchapters
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Specific Groups: Special Populations Patients who have concomitant disorders Obstructive Sleep Apnea in the Patient with CHF NSTEMI with Heart Failure and Cardiogenic Shock
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Editor(s)-In-Chief: James Chang, M.D., Cardiovascular Division Beth Israel Deaconess Medical Center, Boston MA, Harvard Medical School [1] and C. Michael Gibson, M.S., M.D. [2], Cardiovascular Division Beth Israel Deaconess Medical Center, Boston MA, Harvard Medical School

Indications for MVr/R

1. Mitral regurgitation of 3+ or 4+

and any of the conditions below:

2. History of prior heart failure or congestive heart failure

or

3. Tricuspid regurgitation gradient ≥ 30 mmHg

or

4. History of prior atrial fibrillation

or

5. The left ventricular ejection fraction (LVEF) is ≤ 60%

or

6. The left ventricular end-systolic dimension is ≥ 40mm