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Multicenter Study
. 2024 Apr 30;25(5):573-578.
doi: 10.1093/ehjci/jeae053.

European Association of Cardiovascular Imaging survey on the evaluation of mitral regurgitation

Espen Holte  1   2 , Tomaž Podlesnikar  3   4 , Fontes Carvalho  5 , Ahmet Demirkiran  6   7 , Robert Manka  8 , Gabriela Guzmán Martínez  9 , Błażej Michalski  10 , Agnès Pasquet Separovic  11 , Hatem Soliman-Aboumarie  12   13 , Joshi S Shruti  14 , Kristina H Haugaa  15   16 , Marc R Dweck  17
Affiliations
Multicenter Study

European Association of Cardiovascular Imaging survey on the evaluation of mitral regurgitation

Espen Holte et al. Eur Heart J Cardiovasc Imaging. .

Erratum in

Abstract

Aims: To evaluate the diagnosis and imaging of patients with mitral regurgitation (MR) and the management in routine clinical practice across Europe, the European Association of Cardiovascular Imaging Scientific Initiatives Committee performed a survey across European centres. In particular, the routine use of echocardiography, advanced imaging modalities, heart valve clinics, and heart valve teams was explored.

Methods and results: A total of 61 responders, mainly from tertiary centres or university hospitals, from 26 different countries responded to the survey, which consisted of 22 questions. For most questions related to echocardiography and advanced imaging, the answers were relatively homogeneous and demonstrated good adherence to current recommendations. In particular, the centres used a multi-parametric echocardiographic approach and selected the effective regurgitant orifice and vena contracta width as their preferred assessments. 2D measurements are still the most widely used parameters to assess left ventricular structure; however, the majority use 3D trans-oesophageal echocardiography (TOE) to evaluate valve morphology in severe MR. The majority of centres reported the onsite availability and clinical use of ergometric stress echocardiography, cardiac computed tomography (CCT), and cardiac magnetic resonance (CMR) imaging. Heart valve clinics and heart valve teams were also widely prevalent.

Conclusion: Consistent with current guidelines, echocardiography (transthoracic echocardiography and TOE) remains the first-line and central imaging modality for the assessment of MR although the complementary use of 3D TOE, CCT, and CMR appears to be growing. Heart valve clinics and heart valve teams are now widely prevalent.

Keywords: CMR; EACVI; cardiac CT; echocardiography; mitral regurgitation.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Bar chart showing the different echocardiographic parameters used for evaluation of MR in the different institutions (multiple choice).
Figure 2
Figure 2
Bar chart showing the different echocardiographic parameters, the responders where asked to choose the three most useful parameters to evaluate a moderate to severe MR.
Figure 3
Figure 3
The use of 3D TOE in diagnostic workup of patients with a least moderate MR.
Figure 4
Figure 4
The use of CMR for evaluation of myocardial fibrosis for risk stratification and treatment decisions for patients with at least moderate MR.
See this image and copyright information in PMC

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