2020 Focused Update of the 2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation: A Report of the American College of Cardiology Solution Set Oversight Committee

Robert O. Bonow, Patrick T. O'Gara, David H. Adams, Vinay Badhwar, Joseph E. Bavaria, Sammy Elmariah, Judy W. Hung, Jo Ann Lindenfeld, Alanna A. Morris, Ruby Satpathy, Brian Whisenant, Y. Joseph Woo

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2236-2270
Number of pages35
JournalJournal of the American College of Cardiology
Volume75
Issue number17
DOIs
StatePublished - May 5 2020

Keywords

  • ACC Expert Consensus Decision Pathway
  • heart failure
  • mitral regurgitation
  • mitral valve
  • registry
  • transcatheter mitral valve repair
  • transcatheter mitral valve replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Bonow, R. O., O'Gara, P. T., Adams, D. H., Badhwar, V., Bavaria, J. E., Elmariah, S., Hung, J. W., Lindenfeld, J. A., Morris, A. A., Satpathy, R., Whisenant, B., & Woo, Y. J. (2020). 2020 Focused Update of the 2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation: A Report of the American College of Cardiology Solution Set Oversight Committee. Journal of the American College of Cardiology, 75(17), 2236-2270. https://doi.org/10.1016/j.jacc.2020.02.005