Abstract
Mitral valvular insufficiency or regurgitation usually occurs during the period of ventricular systole following mitral valve closure as left ventricular systolic pressure exceeds left atrial pressure, and continues until aortic valve closure (A2). Under certain conditions, such as papillary muscle dysfunction, mitral regurgitation may not begin until mid- or late-systole. Thus, mitral valve insufficiency is best understood as dysfunction of the mitral valve apparatus.
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References
Basta LL, Wolfson P, Eckberg DL, et al. The value of left parasternal impulse recordings in the assessment of mitral regurgitation. Circulation. 1973; 48: 1055.
Carabello BA. Mitral regurgitation, Part 1. Basic pathophysiological principles. Mod. Concepts Cardiovasc Dis.1988; 57: 53.
Fowler NO, Van der Bel-Kahn JM. Indications for surgical replacement of the mitral valve. Am J Cardiol. 1979; 44: 148.
Miyatake K, Izumi S, Okamoto M, et al. Semiquantitative grading of severity of mitral regurgitation by real-time two-dimensional Doppler flow imaging technique. J Am Coll Cardiol. 1986; 7: 82.
Popp RL. Medical Progress: Echocardiography. N Eng J Med. 1990; 323: 101.
Rapaport E. Natural history of aortic and mitral valve disease. Am J Cardiol. 1975; 35: 221.
Rokey R, Sterling LL, Zoghbi WA, et al. Determination of regurgitant fraction in isolated mitral or aortic regurgitation by pulsed Doppler two-dimensional echocardiography. J Am Coll Cardiol. 1986; 7: 1273.
Silverman ME, Hurst JW. The mitral complex: clues to its afflictions. In: Likoff W, ed. Cardiovasc Clin 5, No 2. Valvular Heart Disease. Philadelphia, PA: FA Davis; 1973: 37, 40, 45, 48.
VanDecker W, Panidis IP. Relapsing polychondritis and cardiac valvular involvement. Ann Intern Med. 1988; 109: 340.
Zhang Y, Ihlen H, Myhre E, et al. Measurement of mitral regurgitation by Doppler echocardiography. Br Heart J. 1985; 54: 384.
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© 1991 Springer-Verlag New York Inc.
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Fowler, N.O. (1991). Mitral Valvular Insufficiency. In: Diagnosis of Heart Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3068-7_14
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DOI: https://doi.org/10.1007/978-1-4612-3068-7_14
Publisher Name: Springer, New York, NY
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