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Echocardiographic classification of chronic ischemic mitral regurgitation caused by restricted motion according to tethering pattern

Authors :
Alberto Margonato
Michele De Bonis
Ottavio Alfieri
Arend F.L. Schinkel
Michele Oppizzi
Giulio Melisurgo
Lucia Torracca
Eustachio Agricola
Francesco Maisano
Cardiology
Agricola, E
Oppizzi, M
Maisano, F
DE BONIS, Michele
Schinkel, Af
Torracca, L
Margonato, Alberto
Melisurgo, G
Alfieri, Ottavio
Source :
European Journal of Echocardiography, 5(5), 326-334. Oxford University Press
Publication Year :
2004
Publisher :
Oxford University Press, 2004.

Abstract

Although the mechanism of ischemic mitral regurgitation (MR) is understood, the echocardiographic picture of ischemic MR is not homogeneous. Ninety-two consecutive patients with chronic ischemic MR due to restricted motion were divided into two groups according to tethering pattern: the asymmetric group with predominant posterior tethering of both leaflets (54 patients) and the symmetric one with predominant apical tethering of both leaflets (38 patients). The mitral deformation indexes, LV global (volume, function and sphericity) and local (papillary muscle displacements and regional wall motion score index) remodeling were evaluated. All indexes of global LV remodeling were significantly higher in the symmetric than asymmetric group (all p

Details

Language :
English
ISSN :
20472412, 20472404, and 15252167
Volume :
5
Issue :
5
Database :
OpenAIRE
Journal :
European Heart Journal Cardiovascular Imaging
Accession number :
edsair.doi.dedup.....b8c5a485a8c14f3296d7d96dd299b92d
Full Text :
https://doi.org/10.1016/j.euje.2004.03.001