Mitral regurgitation (MR) is a complex valve lesion that can pose significant management challenges for the cardiovascular clinician. This Expert Consensus Document emphasizes that recognition of MR should prompt an assessment of its etiology, mechanism, and severity, as well as indications for treatment. A structured approach to evaluation based on clinical findings, precise echocardiographic imaging, and when necessary, adjunctive testing, can help clarify decision making. Treatment goals include timely intervention by an experienced heart team to prevent left ventricular dysfunction, heart failure, reduced quality of life, and premature death.

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2017 ACC 关于二尖瓣关闭不全管理的专家共识决策途径

二尖瓣关闭不全 (MR) 是一种复杂的瓣膜病变，会给心血管临床医生带来重大的管理挑战。本专家共识文件强调，MR 的识别应促使对其病因、机制和严重程度以及治疗指征进行评估。基于临床发现、精确的超声心动图成像以及必要时辅助测试的结构化评估方法有助于明确决策。治疗目标包括由经验丰富的心脏团队及时干预，以防止左心室功能障碍、心力衰竭、生活质量下降和过早死亡。