Subspecialty clinics: Cardiology - Mitral regurgitation: A new clinical perspective

Mitral regurgitation is a common valvular heart disease, particularly in the elderly population, The timing of surgical repair is controversial, but recent literature suggests a new clinical perspective on the management of this disease, Despite receiving medical treatment and having fen initial symptoms, patients with mitral regurgitation due to flail leaflets have an excess mortality rate (6.3% per year) and high morbidity, Ten Sears after mitral regurgitation has been diagnosed, 90% of the patients have either died or undergone an operation, After surgical correction of mitral regurgitation, left ventricular dysfunction is a frequent complication and is the cause of excess heart failure and mortality, This complication is due to preoperative left ventricular dysfunction but is incompletely predictable with use of current methods, Conversely, considerable progress in surgery has resulted in an extremely low operative mortality rate (about 1% in patients younger than 75 Sears of age) and high feasibility of valve repair, even in patients with anterior leaflet prolapse, These facts have led to the new perspective that early surgical correction (before occurrence of overt symptoms or left ventricular dysfunction) should be considered when patients are diagnosed with severe mitral regurgitation.