open access

Vol 10, No 5 (2015)
Cardiology Investigation
Published online: 2015-10-28
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The use of exercise echocardiography in the evaluation of mitral regurgitation

Monika Budnik, Gabriela Parol
DOI: 10.5603/FC.2015.0070
·
Folia Cardiologica 2015;10(5):380-385.

open access

Vol 10, No 5 (2015)
Cardiology Investigation
Published online: 2015-10-28

Abstract

Mitral regurgitation (MR) is the second most common valvular disease in Europe that requires surgical intervention. Primary (organic) MR covers all cases that affect lesions of valve apparatus, and secondary (functional) MR results from geometrical distortion of the subvalvular apparatus, secondary to left ventricle enlargement and remodelling. The key diagnostic investigation is resting echocardiography, but assessment of MR only at rest may underestimate the grade of valvular disease. Thus stress examinations are recommended. Sole exercise testing is rarely performed in patients with MR, but stress echocardiography (under exercise or pharmacological stress) is of a prognostic value, provides additional information concerning the severity of MR and enables making further clinical decisions 

Abstract

Mitral regurgitation (MR) is the second most common valvular disease in Europe that requires surgical intervention. Primary (organic) MR covers all cases that affect lesions of valve apparatus, and secondary (functional) MR results from geometrical distortion of the subvalvular apparatus, secondary to left ventricle enlargement and remodelling. The key diagnostic investigation is resting echocardiography, but assessment of MR only at rest may underestimate the grade of valvular disease. Thus stress examinations are recommended. Sole exercise testing is rarely performed in patients with MR, but stress echocardiography (under exercise or pharmacological stress) is of a prognostic value, provides additional information concerning the severity of MR and enables making further clinical decisions 

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Keywords

mitral regurgitation, exercise testing, stress echocardiography

About this article
Title

The use of exercise echocardiography in the evaluation of mitral regurgitation

Journal

Folia Cardiologica

Issue

Vol 10, No 5 (2015)

Pages

380-385

Published online

2015-10-28

DOI

10.5603/FC.2015.0070

Bibliographic record

Folia Cardiologica 2015;10(5):380-385.

Keywords

mitral regurgitation
exercise testing
stress echocardiography

Authors

Monika Budnik
Gabriela Parol

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