Secondary Mitral Regurgitation

被引：38

作者：

O'Gara, Patrick T. ^{[1
]}

Mack, Michael J. ^{[2
]}

机构：

[1] Harvard Med Sch, Brigham & Womens Hosp, Dept Med, Div Cardiovasc Med, Boston, MA 02115 USA

[2] Baylor Scott & White Hlth, Dept Cardiac Surg, Plano, TX USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2020年 / 383卷 / 15期

关键词：

CARDIAC RESYNCHRONIZATION THERAPY; LEFT-VENTRICULAR DYSFUNCTION; MYOCARDIAL-INFARCTION; HEART-FAILURE; MANAGEMENT; ANNULOPLASTY; IMPACT; REPAIR; SIZE;

D O I：

10.1056/NEJMcp1903331

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 75-year-old man presents with dyspnea and fatigue that occur with less than moderate physical activity. He had an ST-segment elevation myocardial infarction involving the inferior and posterior segments of the left ventricle 10 years ago, and since then the left ventricular ejection fraction (LVEF) has decreased from 40% to 25%, accompanied by increasing mitral regurgitation. An implantable cardioverter-defibrillator (ICD) was placed for primary prevention 6 months ago. His medications include metoprolol succinate, spironolactone, and torsemide. How would you further evaluate and treat this patient?

引用

页码：1458 / 1467

页数：10

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