Reduction of mitral valve regurgitation caused by acute papillary muscle ischemia

Marco Magnoni; Stefano Coli; Giovanni La Canna; Carlo Meloni; Domenico Cianflone; Attilio Maseri

doi:10.1038/ncpcardio0742

Reduction of mitral valve regurgitation caused by acute papillary muscle ischemia

Marco Magnoni, Stefano Coli, Giovanni La Canna, Carlo Meloni, Domenico Cianflone, Attilio Maseri

IRCCS Ospedale San Raffaele

Research output: Contribution to journal › Article › peer-review

Abstract

Background: A 67-year-old man was admitted to a coronary care unit for non-ST-segment elevation myocardial infarction with complicating acute heart failure. Severe mitral regurgitation was detected by echocardiography at presentation. Repeat echocardiography carried out during another ischemic episode revealed a marked reduction in the patient's mitral regurgitation that was related to decreased apical traction of the valve leaflets. Investigations: Physical examination, electrocardiography, laboratory tests, coronary angiography, chest radiography, echocardiography. Diagnosis: Mitral regurgitation associated with acute coronary syndrome. Management: Early revascularization by percutaneous coronary intervention, supported by pharmacological therapy to decrease left ventricular filling pressure.

Original language	English
Pages (from-to)	51-54
Number of pages	4
Journal	Nature Clinical Practice Cardiovascular Medicine
Volume	4
Issue number	1
DOIs	https://doi.org/10.1038/ncpcardio0742
Publication status	Published - Jan 2007

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1038/ncpcardio0742

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abstract = "Background: A 67-year-old man was admitted to a coronary care unit for non-ST-segment elevation myocardial infarction with complicating acute heart failure. Severe mitral regurgitation was detected by echocardiography at presentation. Repeat echocardiography carried out during another ischemic episode revealed a marked reduction in the patient's mitral regurgitation that was related to decreased apical traction of the valve leaflets. Investigations: Physical examination, electrocardiography, laboratory tests, coronary angiography, chest radiography, echocardiography. Diagnosis: Mitral regurgitation associated with acute coronary syndrome. Management: Early revascularization by percutaneous coronary intervention, supported by pharmacological therapy to decrease left ventricular filling pressure.",

author = "Marco Magnoni and Stefano Coli and {La Canna}, Giovanni and Carlo Meloni and Domenico Cianflone and Attilio Maseri",

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AU - Coli, Stefano

AU - La Canna, Giovanni

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AU - Cianflone, Domenico

AU - Maseri, Attilio

PY - 2007/1

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N2 - Background: A 67-year-old man was admitted to a coronary care unit for non-ST-segment elevation myocardial infarction with complicating acute heart failure. Severe mitral regurgitation was detected by echocardiography at presentation. Repeat echocardiography carried out during another ischemic episode revealed a marked reduction in the patient's mitral regurgitation that was related to decreased apical traction of the valve leaflets. Investigations: Physical examination, electrocardiography, laboratory tests, coronary angiography, chest radiography, echocardiography. Diagnosis: Mitral regurgitation associated with acute coronary syndrome. Management: Early revascularization by percutaneous coronary intervention, supported by pharmacological therapy to decrease left ventricular filling pressure.

AB - Background: A 67-year-old man was admitted to a coronary care unit for non-ST-segment elevation myocardial infarction with complicating acute heart failure. Severe mitral regurgitation was detected by echocardiography at presentation. Repeat echocardiography carried out during another ischemic episode revealed a marked reduction in the patient's mitral regurgitation that was related to decreased apical traction of the valve leaflets. Investigations: Physical examination, electrocardiography, laboratory tests, coronary angiography, chest radiography, echocardiography. Diagnosis: Mitral regurgitation associated with acute coronary syndrome. Management: Early revascularization by percutaneous coronary intervention, supported by pharmacological therapy to decrease left ventricular filling pressure.

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Reduction of mitral valve regurgitation caused by acute papillary muscle ischemia

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