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Heart Failure VII: Nursing Interventions01:30

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The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
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The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
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Related Experiment Video

Updated: Feb 16, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Percutaneous Mitral Valve Interventions and Heart Failure.

Abhishek Sharma1,2, Sunny Goel3, Sahil Agrawal4

  • 1Division of Cardiovascular Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. abhisheksharma4mamc@gmail.com.

Advances in Experimental Medicine and Biology
|December 27, 2017
PubMed
Summary

Mitral regurgitation (MR), a common heart valve disease, often leads to heart failure. Novel percutaneous interventions offer new hope for high-risk patients ineligible for traditional surgery.

Keywords:
Chordae repairDirect annuloplastyHeart failureLeaflet repairLeft ventricle remodelingMitraClipMitral regurgitationPercutaneous mitral valve interventionTranscatheter mitral valve replacement

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Heart Valve Disease

Background:

  • Mitral regurgitation (MR) is the most common valvular heart disease and a significant cause of heart failure.
  • MR can be primary (degenerative) or secondary (functional) due to cardiomyopathy.
  • Current guidelines recommend surgery for severe MR, but many patients do not undergo the procedure due to high surgical risk or lack of data for secondary MR.

Purpose of the Study:

  • To review advancements in percutaneous mitral valve (MV) interventions for treating MR.
  • To explore the potential of these novel approaches as a standard of care for MR patients with heart failure.

Main Methods:

  • Review of current literature and emerging percutaneous interventional techniques for MR.
  • Analysis of treatment options for patients with moderate-to-severe MR, particularly those at high surgical risk.

Main Results:

  • Percutaneous interventions are expanding therapeutic options for MR.
  • These novel approaches offer potential solutions for patients unsuitable for conventional MV surgery.

Conclusions:

  • Percutaneous MV interventions represent a significant advancement in managing MR.
  • These techniques may become the standard of care for MR patients, especially those with heart failure and high surgical risk.