Reference : Dynamic stress evaluation of secondary mitral regurgitation
Parts of books : Contribution to collective works
Human health sciences : Cardiovascular & respiratory systems
Dynamic stress evaluation of secondary mitral regurgitation
Lancellotti, Patrizio mailto [Université de Liège - ULiège > Département des sciences cliniques > Imagerie cardiaque fonctionnelle par échographie >]
DULGHERU, Raluca Elena mailto [Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Clinique des valvulopathies - Echocardiographies - Imagerie >]
Pierard, Luc mailto [Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques >]
Secondary Mitral Valve Regurgitation
[en] The emerging role of stress and particularly exercise echocardiography in secondary mitral regurgitation (SMR) has been recently emphasized. In fact, the evaluation of SMR only under resting conditions might underestimate the full impact of the lesion and its clinical effects. Exercise echocardiography can identify what otherwise might be considered as a moderate valve disease. The severity of SMR at rest is not related to exercise induced changes in SMR severity. Worsening of SMR severity, marked increase in pulmonary arterial pressure, limited contractile reserve, impaired exercise capacity, together with the occurrence of symptoms during exercise echocardiography provide the clinician with diagnostic and prognostic information that can contribute importantly to identify a subset of patients at higher risk who may benefit from combined mitral valve surgery. © 2015 Springer-Verlag London.

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