Author + information
- FOCUSED UPDATE WRITING COMMITTEE,
- Robert O. Bonow, MD, MS, MACCChair,
- Patrick T. O’Gara, MD, MACCVice-chair,
- David H. Adams, MD, FACC,
- Vinay Badhwar, MD, FACC,
- Joseph E. Bavaria, MD, FACC,
- Sammy Elmariah, MD, MPH, FACC,
- Judy W. Hung, MD, FACC,
- JoAnn Lindenfeld, MD, FACC,
- Alanna A. Morris, MD, MSc, FACC,
- Ruby Satpathy, MD, FACC,
- Brian Whisenant, MD, FACC and
- Y. Joseph Woo, MD, FACC
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.
The American College of Cardiology requests that this document be cited as follows: Bonow RO, O’Gara PT, Adams DH, Badhwar V, Bavaria JE, Elmariah S, Hung J, Lindenfeld J, Morris AA, Satpathy R, Whisenant B, Woo YJ. 2020 Focused update of the 2017 ACC expert consensus decision pathway on the management of mitral regurgitation. J Am Coll Cardiol 2020; XX:XXX-XX.
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- 2020 American College of Cardiology Foundation