Document Detail


Stress testing for the evaluation of patients with mitral regurgitation.
MedLine Citation:
PMID:  22872130     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: The emerging role of stress and particularly exercise echocardiography in mitral regurgitation has been recently emphasized. In fact, the evaluation of mitral regurgitation only under resting conditions might underestimate the full impact of the lesion and its clinical effects.
RECENT FINDINGS: Exercise echocardiography can identify what otherwise might be considered as a moderate valve disease. Recently, worsening of mitral regurgitation severity, marked increase in pulmonary arterial pressure, limited contractile reserve, and 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 elective mitral valve surgery.
SUMMARY: Exercise echocardiography has the advantages of its wide availability, low cost, and versatility for the assessment of mitral regurgitation severity. Furthermore, exercise echocardiography can help to unmask patients at a more advanced stage of the disease and could improve the management and the timing of surgery.
Authors:
Patrizio Lancellotti; Julien Magne
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  27     ISSN:  1531-7080     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  492-8     Citation Subset:  IM    
Affiliation:
GIGA Cardiovascular Sciences, Heart Valve Clinic, University of Liège, Department of Cardiology, University Hospital Sart Tilman, Liège, Belgium.
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