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Exercise echocardiography in the evaluation of severity of functional mitral regurgitation in patients with heart failure

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Abstract

We present two cases with ischemic cardiomyopathy and similar functional mitral regurgitation (fMR) at rest, who represented different outcomes following mitral valve repair. In case 1, fMR was enhanced during exercise echocardiography, and his symptoms were improved following the repair and coronary artery bypass graft (CABG). In case 2, fMR did not change during exercise, and the improvement of his symptoms was small following the operation. Exercise echocardiography evidenced variability of the dynamic changes in fMR in patients with ischemic cardiomyopathy. The variability may be related to the outcome of the mitral valve repair.

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References

  1. Blondheim DS, Jacobs LE, Kotler MN, Costacurta GA, Parry WR. Dilated cardiomyopathy with mitral regurgitation: decreased survival despite a low frequency of left ventricular thrombus. Am Heart J. 1991;122:763–71.

    Article  CAS  PubMed  Google Scholar 

  2. Grigioni F, Enriquez-Sarano M, Zehr KJ, Bailey KR, Tajik AJ. Ischemic mitral regurgitation: long-term outcome and prognostic implications with quantitative Doppler assessment. Circulation. 2001;103:1759–64.

    CAS  PubMed  Google Scholar 

  3. Yamano T, Nakatani S, Kanzaki H, Toh N, Amaki M, Tanaka J, et al. Exercise-induced changes of functional mitral regurgitation in asymptomatic or mildly symptomatic patients with idiopathic dilated cardiomyopathy. Am J Cardiol. 2008;102:481–5.

    Article  PubMed  Google Scholar 

  4. Otsuji Y, Handschumacher MD, Schwammenthal E, Jiang L, Song JK, Guerrero JL, et al. Insights from three-dimensional echocardiography into the mechanism of functional mitral regurgitation: direct in vivo demonstration of altered leaflet tethering geometry. Circulation. 1997;96:1999–2008.

    CAS  PubMed  Google Scholar 

  5. Nakashiki K, Otsuji Y, Ueno T, Kisanuki A, Kuwahara E, Hamasaki S, et al. Transient late-onset ischemic mitral regurgitation following Dor’s procedure. J Echocardiogr. 2009;7:16–8.

    Article  Google Scholar 

  6. Piazza N, Asgar A, Ibrahim R, Bonan R. Transcatheter mitral and pulmonary valve therapy. J Am Coll Cardiol. 2009;53:1837–51.

    Article  PubMed  Google Scholar 

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Correspondence to Kazuhiro Yamamoto.

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Kobayashi, Y., Sakata, Y., Takeda, Y. et al. Exercise echocardiography in the evaluation of severity of functional mitral regurgitation in patients with heart failure. J Echocardiogr 8, 97–99 (2010). https://doi.org/10.1007/s12574-010-0037-x

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  • DOI: https://doi.org/10.1007/s12574-010-0037-x

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