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European Heart Journal Advance Access originally published online on May 25, 2005
European Heart Journal 2005 26(15):1454-1455; doi:10.1093/eurheartj/ehi323
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org

The non-ischaemic dynamics of ischaemic mitral regurgitation: solving the paradox

Ehud Schwammenthal1,* and Robert A. Levine2

1Cardiac Rehabilitation Institute, Sheba Medical Center (Tel Aviv University), Tel Hashomer 52621, Israel
2Cardiac Ultrasound Laboratory, Massachusetts General Hospital (Harvard Medical School), Boston, MA, USA

* Corresponding author. E-mail address: sehud@post.tau.ac.il

This editorial refers to ‘Long-term outcome of patients with heart failure and dynamic functional mitral regurgitation’{dagger} by P. Lancellotti et al., on page 1528

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A 65-year-old patient with a history of myocardial infarction and known occlusions of the right and distal left anterior descending coronary arteries is admitted to the emergency room for acute pulmonary oedema. Blood pressure is 160/90 mmHg and heart rate is 98 beats/min. An electrocardiogram shows sinus rhythm, Q-waves in the inferior leads, and V1–3 with equivocal ST-segment changes in the chest leads. Troponin is borderline. An echocardiogram shows reduced global left ventricular (LV) contraction with an estimated ejection fraction (EF) of 30–35%, akinesis of the inferior and posterior segments as well as the apex, mitral valve tethering with severe mitral . . . [Full Text of this Article]


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Related articles in EHJ:

Long-term outcome of patients with heart failure and dynamic functional mitral regurgitation
Patrizio Lancellotti, Paul L. Gérard, and Luc A. Piérard
EHJ 2005 26: 1528-1532. [Abstract] [Full Text]  



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