Identification of the Asymptomatic Patient With Severe Mitral Regurgitation
Organic mitral regurgitation (MR) is a common disorder, and because of the increase in population and its aging, the occurrence of MR is steadily increasing. Current guideline recommendations on the management of asymptomatic severe MR are conflicting and based solely on registries
or nonrandomized trials in expert heart valve clinics, resulting in a lack of evidence for the best treatment strategy. In this review, we will evaluate the latest evidence on diagnostic approaches and treatment strategies for asymptomatic patients without a clear indication for surgical intervention.
Implications for management in daily practice are discussed, including an update on the diagnostic approaches that are currently available for the evaluation of MR. For optimal care, it is important that every severe MR patient, including the unidentified patient, is referred to a specialized
heart team and is assessed on an individual basis according to the guideline recommendations, experience of the surgical center, and the patient’s characteristics and preferences. Screening and diagnostic approaches need to be performed on the basis of standardized protocols and strict
criteria. In addition, specialized valve centers must meet the surgical criteria to guarantee high reparability rates in asymptomatic patients. Awareness among cardiologists and cardiothoracic surgeons, improved guidelines adherence, and a systematic approach, including strict criteria in
the management of asymptomatic patients with severe organic MR, will ensure reliable and applicable results in research and daily clinical practice.
Keywords: guideline recommendations; heart surgery; heart team; mitral regurgitation; watchful waiting
Document Type: Research Article
Publication date: 01 May 2017
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