2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation

被引：119

作者：

O'Gara, Patrick T. ^{[1
,2
]}

Grayburn, Paul A. ^{[6
]}

Badhwar, Vinay ^{[3
,4
,5
]}

Elmariah, Sammy ^{[10
]}

Kithcart, Aaron P. ^{[11
]}

Nishimura, Rick A. ^{[12
]}

Ryan, Thomas J. ^{[13
,14
]}

Schwartz, Allan ^{[15
]}

Stevenson, Lynne Warner ^{[16
]}

Afonso, Luis C. ^{[7
]}

Carroll, John D. ^{[8
,9
]}

Januzzi, James L., Jr.

Afonso, Luis C. ^{[7
]}

Everett, Brendan M.

Hernandez, Adrian F. ^{[17
]}

Hucker, William J. ^{[18
]}

Jneid, Hani

Kumbhani, Dharam J.

Marine, Joseph E. ^{[19
]}

Morris, Pamela B. ^{[20
,21
,22
]}

Piana, Robert N.

Watson, Karol E.

Wiggins, Barbara S.

机构：

[1] Harvard Med Sch, Med, Boston, MA 02115 USA

[2] Brigham & Womens Hosp, Clin Cardiol, Boston, MA 02115 USA

[3] West Virginia Univ, Morgantown, WV USA

[4] West Virginia Univ, Dept Cardiovasc Thorac Surg, Morgantown, WV USA

[5] WVU Heart & Vasc Inst, Morgantown, WV USA

[6] Baylor Heart & Vasc Inst, Cardiol Res, Dallas, TX USA

[7] Wayne State Univ, Med, Div Cardiol, Detroit, MI 48202 USA

[8] Univ Colorado, Med, Denver, CO 80202 USA

[9] Univ Colorado, Intervent Cardiol, Denver, CO 80202 USA

[10] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA

[11] Brigham & Womens Hosp, Div Cardiovasc Med, Boston, MA 02115 USA

[12] Mayo Clin, Med, Div Cardiovasc Dis, Rochester, MN USA

[13] Ohio State Heart & Vasc Ctr, Columbus, OH USA

[14] Ross Heart Hosp, Cardiovasc Med, Columbus, OH USA

[15] Columbia Univ, Div Cardiol, New York, NY 10027 USA

[16] Brigham & Womens Hosp, Cardiomyopathy & Heart Failure Program, Boston, MA 02115 USA

[17] Duke Clin Res Inst, Hlth Serv Outcomes Res, Durham, NC USA

[18] Massachusetts Gen Hosp, Cardiac Electrophysiol, Boston, MA 02114 USA

[19] Johns Hopkins Univ, Sch Med, Med, Baltimore, MD 21218 USA

[20] Med Univ South Carolina, Coll Med, Med, Columbia, SC USA

[21] Med Univ South Carolina, Seinsheimer Cardiovasc Hlth Program, Columbia, SC USA

[22] Med Univ South Carolina, Womens Heart Care, Columbia, SC USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2017年 / 70卷 / 19期

关键词：

Expert Consensus Decision Pathway; echocardiography; mitral regurgitation; mitral valve; transcatheter; valve repair; valve surgery; VENA CONTRACTA AREA; ISOVELOCITY SURFACE-AREA; 3-DIMENSIONAL TRANSESOPHAGEAL ECHOCARDIOGRAPHY; COLOR DOPPLER-ECHOCARDIOGRAPHY; LEFT-VENTRICULAR DYSFUNCTION; COLLEGE-OF-CARDIOLOGY; VALVE REPAIR; MAGNETIC-RESONANCE; ORIFICE AREA; HEART-FAILURE;

D O I：

10.1016/j.jacc.2017.09.019

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Mitral regurgitation (MR) is a complex valve lesion that can pose significant management challenges for the cardiovascular clinician. This Expert Consensus Document emphasizes that recognition of MR should prompt an assessment of its etiology, mechanism, and severity, as well as indications for treatment. A structured approach to evaluation based on clinical findings, precise echocardiographic imaging, and when necessary, adjunctive testing, can help clarify decision making. Treatment goals include timely intervention by an experienced heart team to prevent left ventricular dysfunction, heart failure, reduced quality of life, and premature death.

引用

页码：2421 / 2449

页数：29

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