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Published on: May 19, 2020
Intermittent symptomatic functional mitral regurgitation illustrated by two cases
Alper Aydin1, Tayfun Gurol2, Ozer Soylu2
1Department of Cardiology, Faculty of Medicine, Bahcesehir University, Istanbul, Turkey. dralperaydin@gmail.com.
Intermittent functional mitral regurgitation can cause heart failure. Careful echocardiography with ECG is crucial for diagnosing this condition and guiding treatment.
Area of Science:
- Cardiology
- Cardiac Imaging
- Heart Failure Pathophysiology
Background:
- Functional mitral regurgitation (FMR) presents diverse hemodynamic effects and treatment strategies.
- Intermittent FMR can be an underdiagnosed cause of heart failure.
Observation:
- Two cases of hemodynamically significant intermittent FMR leading to heart failure are presented.
- Simultaneous electrocardiogram (ECG) and echocardiography were used for analysis.
Findings:
- Intermittent FMR can manifest as either systolic or diastolic mitral regurgitation.
- Detailed echocardiographic assessment is vital for identifying subtle FMR.
Implications:
- Highlights the need for a high index of suspicion for intermittent FMR in heart failure patients.
- Emphasizes the diagnostic value of combined echocardiography and ECG in elucidating FMR mechanisms.
- Informs clinical decision-making for managing heart failure potentially caused by intermittent FMR.
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