Interpretation of updated version 2020 of expert consensus decision pathway on the management of mitral regurgitation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Huan , LIU Shun , WEI Lai ,  WANG Chunsheng

Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, P.R.China;

Corresponding author：

WANG Chunsheng, Email: wangchunsheng@fudan.edu.cn

Keywords：

Transcatheter mitral valve repair; diagnosis and treatment standard; interpretation

DOI：

10.7507/1007-4848.202010002

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

American College of Cardiology (ACC) issued the updated expert consensus decision pathway on the management of mitral regurgitation in April 2020. The whole process in caring patients with mitral valve regurgitation from patient evaluation to treatment choice was discussed in the consensus. The main change from the 2017 version is the confirmation of the effect of transcatheter mitral valve repair on secondary mitral regurgitation. It standardized the process in this field. In this paper, we aimed to introduce the focus update of this consensus.

Citation： LIU Huan, LIU Shun, WEI Lai, WANG Chunsheng. Interpretation of updated version 2020 of expert consensus decision pathway on the management of mitral regurgitation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(12): 1389-1392. doi: 10.7507/1007-4848.202010002 Copy

1.	O'Gara PT, Grayburn PA, Badhwar V, et al. 2017 ACC expert consensus decision pathway on the management of mitral regurgitation: A report of the American College of Cardiology task force on expert consensus decision pathways. J Am Coll Cardiol, 2017, 70(19): 2421-2449.
2.	Bonow RO, O'Gara PT, Adams DH, et al. 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. J Am Coll Cardiol, 2020, 75(17): 2236-2270.
3.	Leung DY, Griffin BP, Stewart WJ, et al. Left ventricular function after valve repair for chronic mitral regurgitation: Predictive value of preoperative assessment of contractile reserve by exercise echocardiography. J Am Coll Cardiol, 1996, 28(5): 1198-1205.
4.	Naji P, Griffin BP, Asfahan F, et al. Predictors of long-term outcomes in patients with significant myxomatous mitral regurgitation undergoing exercise echocardiography. Circulation, 2014, 129(12): 1310-1319.
5.	Lancellotti P, Troisfontaines P, Toussaint AC, et al. Prognostic importance of exercise-induced changes in mitral regurgitation in patients with chronic ischemic left ventricular dysfunction. Circulation, 2003, 108(14): 1713-1717.
6.	Magne J, Lancellotti P, Pierard LA. Exercise pulmonary hypertension in asymptomatic degenerative mitral regurgitation. Circulation, 2010, 122(1): 33-41.
7.	ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 2002, 166(1): 111-117.
8.	El Sabbagh A, Reddy YNV, Nishimura RA. Mitral valve regurgitation in the contemporary era: Insights into diagnosis, management, and future directions. JACC Cardiovasc Imaging, 2018, 11(4): 628-643.
9.	2019 FDA approves new indication for valve repair device to treat certain heart failure patients with mitral regurgitation. Available at https://www.fda.gov/news-events/press-announcements/fda-approves-new-indication-valve-repair-device-treat-certain-heart-failure-patients-mitral. Accessed 2019 March 14.
10.	Stone GW, Lindenfeld J, Abraham WT, et al. Transcatheter mitral-valve repair in patients with heart failure. N Engl J Med, 2018, 379(24): 2307-2318.

1. O'Gara PT, Grayburn PA, Badhwar V, et al. 2017 ACC expert consensus decision pathway on the management of mitral regurgitation: A report of the American College of Cardiology task force on expert consensus decision pathways. J Am Coll Cardiol, 2017, 70(19): 2421-2449.
2. Bonow RO, O'Gara PT, Adams DH, et al. 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. J Am Coll Cardiol, 2020, 75(17): 2236-2270.
3. Leung DY, Griffin BP, Stewart WJ, et al. Left ventricular function after valve repair for chronic mitral regurgitation: Predictive value of preoperative assessment of contractile reserve by exercise echocardiography. J Am Coll Cardiol, 1996, 28(5): 1198-1205.
4. Naji P, Griffin BP, Asfahan F, et al. Predictors of long-term outcomes in patients with significant myxomatous mitral regurgitation undergoing exercise echocardiography. Circulation, 2014, 129(12): 1310-1319.
5. Lancellotti P, Troisfontaines P, Toussaint AC, et al. Prognostic importance of exercise-induced changes in mitral regurgitation in patients with chronic ischemic left ventricular dysfunction. Circulation, 2003, 108(14): 1713-1717.
6. Magne J, Lancellotti P, Pierard LA. Exercise pulmonary hypertension in asymptomatic degenerative mitral regurgitation. Circulation, 2010, 122(1): 33-41.
7. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 2002, 166(1): 111-117.
8. El Sabbagh A, Reddy YNV, Nishimura RA. Mitral valve regurgitation in the contemporary era: Insights into diagnosis, management, and future directions. JACC Cardiovasc Imaging, 2018, 11(4): 628-643.
9. 2019 FDA approves new indication for valve repair device to treat certain heart failure patients with mitral regurgitation. Available at https://www.fda.gov/news-events/press-announcements/fda-approves-new-indication-valve-repair-device-treat-certain-heart-failure-patients-mitral. Accessed 2019 March 14.
10. Stone GW, Lindenfeld J, Abraham WT, et al. Transcatheter mitral-valve repair in patients with heart failure. N Engl J Med, 2018, 379(24): 2307-2318.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Interpretation of updated version 2020 of expert consensus decision pathway on the management of mitral regurgitation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content