2020 Focused Update of the 2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation: A Report of the American College of Cardiology Solution Set Oversight Committee.
Publication/Presentation Date
5-5-2020
Abstract
Mitral regurgitation (MR) is a complex valve lesion that can pose significant management challenges. This expert consensus decision pathway emphasizes that recognition of MR should prompt an assessment of its etiology, mechanism, and severity, as well as consideration of the indications for treatment. The document is a focused update of the 2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation, with some sections updated and others added in light of the publication of new trial data related to secondary MR, among other developments. A structured approach to evaluation based on clinical findings, accurate echocardiographic imaging, and, when necessary, adjunctive testing can help clarify decision making. Treatment goals include timely intervention by an experienced multidisciplinary heart team to prevent left ventricular dysfunction, heart failure, reduced quality of life, and premature death.
Volume
75
Issue
17
First Page
2236
Last Page
2270
ISSN
1558-3597
Published In/Presented At
Bonow, R. O., O'Gara, P. T., Adams, D. H., Badhwar, V., Bavaria, J. E., Elmariah, S., Hung, J. W., Lindenfeld, J., Morris, A. A., Satpathy, R., Whisenant, B., & Woo, Y. J. (2020). 2020 Focused Update of the 2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation: A Report of the American College of Cardiology Solution Set Oversight Committee. Journal of the American College of Cardiology, 75(17), 2236–2270. https://doi.org/10.1016/j.jacc.2020.02.005
Disciplines
Medicine and Health Sciences
PubMedID
32068084
Department(s)
Department of Surgery
Document Type
Article