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European Journal of Echocardiography 2007 8(3):175-184; doi:10.1016/j.euje.2006.11.002
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Copyright © 2006, The European Society of Cardiology

Assessment of subclinical left ventricular dysfunction in asymptomatic mitral regurgitation

Raymond Lee and Thomas H. Marwick*

University of Queensland, Brisbane, Australia

Received 30 May 2006; received in revised form 26 October 2006; accepted after revision 6 November 2006.

* Corresponding author. University of Queensland, Department of Medicine, Princess Alexandra Hospital, Ipswich Road, Brisbane, Q4102, Australia. Tel.: +61 7 3240 5340; fax: +61 7 3240 5399. t.marwick{at}uq.edu.au


  Abstract

The management of asymptomatic severe mitral regurgitation is showing an increasing trend towards early surgery. However, in situations where either the valve or the patient is not optimal for surgery, watchful waiting remains a reasonable policy. In this situation, the longstanding challenge of assessing left ventricular function in the setting of severe mitral regurgitation has been simplified by a number of investigations, including stress echocardiography and myocardial imaging. This paper reviews the evidence base for each of these techniques.

Keywords: Mitral regurgitation; Left ventricular function; Echocardiography; Myocardium


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