The assessment of mitral valve disease: a guideline from the British Society of  Echocardiography.

[en] Mitral valve disease is common. Mitral regurgitation is the second most frequent indication for valve surgery in Europe and despite the decline of rheumatic fever in Western societies, mitral stenosis of any aetiology is a regular finding in all echo departments. Mitral valve disease is, therefore, one of the most common pathologies encountered by echocardiographers, as both a primary indication for echocardiography and a secondary finding when investigating other cardiovascular disease processes. Transthoracic, transoesophageal and exercise stress echocardiography play a crucial role in the assessment of mitral valve disease and are essential to identifying the aetiology, mechanism and severity of disease, and for helping to determine the appropriate timing and method of intervention. This guideline from the British Society of Echocardiography (BSE) describes the assessment of mitral regurgitation and mitral stenosis, and replaces previous BSE guidelines that describe the echocardiographic assessment of mitral anatomy prior to mitral valve repair surgery and percutaneous mitral valvuloplasty. It provides a comprehensive description of the imaging techniques (and their limitations) employed in the assessment of mitral valve disease. It describes a step-wise approach to identifying: aetiology and mechanism, disease severity, reparability and secondary effects on chamber geometry, function and pressures. Advanced echocardiographic techniques are described for both transthoracic and transoesophageal modalities, including TOE and exercise testing.

Disciplines :

Cardiovascular & respiratory systems

Author, co-author :

Robinson, Shaun; Peterborough City Hospital, North West Anglia NHS Foundation Trust, Peterborough,

Ring, Liam; West Suffolk Hospital NHS Foundation Trust, Bury St Edmunds, Suffolk, UK.

Augustine, Daniel X; Royal United Hospitals Bath NHS Foundation Trust, Bath, UK. ; Department for Health, University of Bath, Bath, UK.

Rekhraj, Sushma; Nottingham University Hospitals NHS Trust, Nottongham, UK.

Oxborough, David; Liverpool John Moores University, Research Institute for Sports and Exercise

Harkness, Allan; Department of Cardiology, Colchester Hospital NHS Trust, Colchester, UK.

LANCELLOTTI, Patrizio ; Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie

Rana, Bushra; Imperial College Healthcare NHS Trust, London, UK.

Language :

English

Title :

The assessment of mitral valve disease: a guideline from the British Society of Echocardiography.

Publication date :

27 September 2021

Journal title :

Echo Research and Practice

eISSN :

2055-0464

Publisher :

Bioscientifica, Gb

Volume :

Issue :

Pages :

G87-G136

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 18 May 2022

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