Multimodality imaging for the management of patients with primary mitral regurgitation. Issue 8 (11th October 2022)

• Record Type: Journal Article
• Authors: Vratonjic, Jelena; Jovanovic, Ivana; Petrovic, Olga; Paunovic, Ivana; Boricic‐Kostic, Marija; Tesic, Milorad; Nedeljkovic‐Arsenovic, Olga; Maksimovic, Ruzica; Ivanovic, Branislava; Trifunovic‐Zamaklar, Danijela
• Other Names: Belyavskiy Evgeny guestEditor.; Cameli Matteo guestEditor.
• Is Part Of: Journal of clinical ultrasound. Volume 50:Issue 8(2022)
• Page Start: 1051
• Page End: 1059
• Publication Date: 2022-10-11
• Subjects: cardiac magnetic resonance -- mitral valve prolapse -- myocardial deformation imaging -- primary MR; Ultrasonics in medicine -- Periodicals; 616.07543
• DOI: 10.1002/jcu.23335
• Languages: English
• ISSNs: 0091-2751

Abstract

Abstract: Advanced cardiac imaging (ACI), including myocardial deformation imaging, 3D echocardiography and cardiac magnetic resonance, overcomes the limitations of conventional echocardiography in the assessment of patients with primary mitral regurgitation (MR). They enable a more precise MR quantification and reveal early changes before advanced and irreversible remodeling with depressed heart function occurs. ACI permits a thorough analysis of mitral valvular anatomy and MR mechanisms (important for planning and guiding percutaneous and surgical procedures) and helps to identify structural and functional changes coupled with a high arrhythmogenic potential, especially the occurrence of atrial fibrillation and heart failure development. The key question is how the data provided by ACI can improve the current management of primary MR. Abstract : Advanced imaging techniques have a major potential to overcome the limitations of conventional echocardiography as they can assess the mitral valve morphology, its functional relationship with the surrounding structures that help guide surgeons' technique and the prediction of the outcome. They might detect early changes in the structure and function of the LV, LA and RV in primary MR, influencing the optimal time of intervention.