Document Detail


Mechanistic Insights into Ischemic Mitral Regurgitation: Echocardiographic and Surgical Implications.
MedLine Citation:
PMID:  21592725     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Ischemic mitral regurgitation is a common complication of the healing phase of myocardial infarction. A number of mechanisms have been invoked in its pathogenesis, including alterations of papillary muscle position, annular dynamics, and intraventricular synchrony. The echocardiographic hallmark of ischemic mitral regurgitation is systolic tethering of the mitral valve leaflets away from the annular plane. A number of leaflet tethering parameters have been described (tenting height and area, leaflet angles) that provide insight into the mechanism of tethering as well as prognostic information about the durability of mitral valve repair. Restrictive annuloplasty and coronary artery revascularization promote reverse remodeling and remain the most common surgical treatment. Innovative subannular therapies and a number of percutaneous interventions are under investigation.
Authors:
Jeffrey J Silbiger
Related Documents :
10559825 - Acute thrombotic-ischemic coronary syndromes: the usefulness of tec.
14697725 - Major dissection of the coronary sinus and its tributaries during lead implantation for...
10149995 - Restenosis rate after percutaneous transluminal coronary angioplasty: a literature over...
21542125 - A new strategy for septal ablation with transendocardial ethanol injection using a mult...
18851735 - Transposition of the great arteries.
10559825 - Acute thrombotic-ischemic coronary syndromes: the usefulness of tec.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-16
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  -     ISSN:  1097-6795     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.
Affiliation:
Mount Sinai School of Medicine, New York, New York.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Bimanual force coordination in children with spastic unilateral cerebral palsy.
Next Document:  Prediction of Exercise Pulmonary Hypertension in Asymptomatic Degenerative Mitral Regurgitation.