TY - JOUR
T1 - Reduction of mitral valve regurgitation caused by acute papillary muscle ischemia
AU - Magnoni, Marco
AU - Coli, Stefano
AU - La Canna, Giovanni
AU - Meloni, Carlo
AU - Cianflone, Domenico
AU - Maseri, Attilio
PY - 2007/1
Y1 - 2007/1
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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U2 - 10.1038/ncpcardio0742
DO - 10.1038/ncpcardio0742
M3 - Article
C2 - 17180150
AN - SCOPUS:33845778932
VL - 4
SP - 51
EP - 54
JO - Nature Clinical Practice Cardiovascular Medicine
JF - Nature Clinical Practice Cardiovascular Medicine
SN - 1743-4297
IS - 1
ER -