Exercise Testing and Stress Imaging in Mitral Valve Disease.

[en] OPINION STATEMENT: Mitral valve disease represented by mitral stenosis and mitral regurgitation is the second most frequent valvulopathy. Mitral stenosis leads to an increased left atrial pressure whereas mitral regurgitation leads to an increased left atrial pressure associated with a volume overload. Secondary to an upstream transmission of this overpressure, both mitral stenosis and regurgitation lead to pulmonary hypertension and right heart failure. In addition, mitral regurgitation also leads to left ventricular dilatation and dysfunction with left heart failure. Depending on the anatomy of the valvular and subvalvular apparatus, valve repair (percutaneous mitral commissurotomy for mitral stenosis and valvuloplasty for mitral regurgitation) might be possible. If the anatomy is not favorable, valve replacement by mechanical or biological prosthesis is indicated. Most of the intervention indications are based on clinical symptoms and resting transthoracic echocardiography. Outcomes of patients operated based upon resting echo abnormalities might however not be optimal. Therefore early intervention might be beneficial based upon abnormal exercise testing, which has been demonstrated to more sensitive to identify high-risk patients. In this last decade, especially exercise echocardiography has been found to be a crucial tool in the management of patients with mitral valve disease.

Disciplines :

Cardiovascular & respiratory systems

Author, co-author :

Voilliot, Damien

Lancellotti, Patrizio ; Université de Liège > Département des sciences cliniques > Imagerie cardiaque fonctionnelle par échographie

Language :

English

Title :

Exercise Testing and Stress Imaging in Mitral Valve Disease.

Publication date :

2017

Journal title :

Current Treatment Options in Cardiovascular Medicine

ISSN :

1092-8464

eISSN :

1534-3189

Publisher :

Current Science, United States

Volume :

Issue :

Pages :

Peer reviewed :

Peer reviewed

Available on ORBi :

since 13 June 2017

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Bibliography

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