Mitral Regurgitation Electrocardiogram: Difference between revisions

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There are many diagnostic tests that have abnormal results in the presence of mitral regurgitation. 
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These tests suggest the diagnosis of mitral regurgitation and may indicate to the physician that further testing is warranted.  For instance, the [[electrocardiogram]] (ECG) in long standing mitral regurgitation may show evidence of left atrial enlargement and [[left ventricular hypertrophy]]. 


[[Atrial fibrillation]] may also be noted on the ECG in individuals with chronic mitral regurgitation. 
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The ECG may not show any of these finding in the setting of acute mitral regurgitation.
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The quantification of mitral regurgitation usually employs imaging studies such as echocardiography or magnetic resonance angiography of the heart.
[[Image:Mitralinsuff TEE.jpg|right|thumb|400px|transesophageal echocardiogram of mitral valve prolapse]]
 
The [[echocardiogram]] is commonly used to confirm the diagnosis of mitral regurgitation.  Color doppler flow on the transthoracic echocardiogram (TTE) will reveal a jet of blood flowing from the left ventricle into the left atrium during ventricular [[systole]].
 
Because of the inability in getting accurate images of the left atrium and the pulmonary veins on the transthoracic echocardiogram, a [[transesophageal echocardiogram]] may be necessary to determine the severity of the mitral regurgitation in some cases.
 
Factors that suggest severe mitral regurgitation on echocardiography include systolic reversal of flow in the pulmonary veins and filling of the entire left atrial cavity by the regurgitant jet of MR.
 
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Revision as of 01:03, 24 February 2011

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

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transesophageal echocardiogram of mitral valve prolapse

The echocardiogram is commonly used to confirm the diagnosis of mitral regurgitation. Color doppler flow on the transthoracic echocardiogram (TTE) will reveal a jet of blood flowing from the left ventricle into the left atrium during ventricular systole.

Because of the inability in getting accurate images of the left atrium and the pulmonary veins on the transthoracic echocardiogram, a transesophageal echocardiogram may be necessary to determine the severity of the mitral regurgitation in some cases.

Factors that suggest severe mitral regurgitation on echocardiography include systolic reversal of flow in the pulmonary veins and filling of the entire left atrial cavity by the regurgitant jet of MR.

Flail Posterior Mitral Leaflet M Mode