engleski

Treatment of functional mitral regurgitation – cardiologists’ eternal enigma

Prevalence of mitral regurgitation (MR) is still increasing in the western world despite the low incidence of rheumatic fever. Due to the complex structure of mitral apparatus pathology at any level can lead to valve dysfunction. Etiology of MR can be divided into primary, where the lesion is within the mitral apparatus, and secondary, which is caused by geometrical alteration of the left ventricle1. Secondary or functional MR is considered a disease of the left ventricle which is dilated with distorted papillary muscles preventing normal systolic coaptation of the mitral valve leaflets. Echocardiography is paramount for the diagnosis and evaluation of MR2, 3. Qualitative, semi-quantitative and quantitative methods should be used for evaluating the severity of MR.

secondary mitral regurgitation, echocardiography, cardiomyopathy

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