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European Heart Journal Advance Access originally published online on July 29, 2005
European Heart Journal 2005 26(18):1816-1817; doi:10.1093/eurheartj/ehi418
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org

Chronic ischaemic mitral regurgitation: exercise testing reveals its dynamic component

Patrizio Lancellotti* and Luc A. Piérard

Department of Cardiology, University Hospital of Sart Tilman, B-4000 Liège, Belgium

* Corresponding author. Tel: +32 4 366 71 94; fax: +32 4 366 71 95. E-mail address: plancellotti@chu.ulg.ac.be

This editorial refers to ‘Exercise-induced changes in mitral regurgitation in patients with prior myocardial infarction and left ventricular dysfunction: relation to mitral deformation and left ventricular function and shape’{dagger} by V. Giga et al., on page 1860

The first 10% of the full text of this article appears below.

Ischaemic mitral regurgitation (IMR) is a complication of coronary heart disease, particularly in the setting of a prior myocardial infarction. Its incidence and clinical importance are largely underestimated partly because physical examination is rather insensitive. IMR occurs despite a structurally normal mitral valve as a consequence of a ventricular disease. It results from distortion of left ventricular (LV) geometry tethering the mitral leaflets and from decreased LV force to close them.1

When present, IMR may exhibit a broad range of severity and conveys a dismal prognosis. The increased mortality risk relates not only to the presence, but also more importantly to the quantified degree of IMR. Several methods can be used . . . [Full Text of this Article]


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Related articles in EHJ:

Exercise-induced changes in mitral regurgitation in patients with prior myocardial infarction and left ventricular dysfunction: relation to mitral deformation and left ventricular function and shape
Vojislav Giga, Miodrag Ostojic, Bosiljka Vujisic-Tesic, Ana Djordjevic-Dikic, Jelena Stepanovic, Branko Beleslin, Milan Petrovic, Milan Nedeljkovic, Ivana Nedeljkovic, and Natasa Milic
EHJ 2005 26: 1860-1865. [Abstract] [Full Text]  



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