European Association of Cardiovascular Imaging survey on the evaluation of mitral regurgitation

To evaluate the diagnosis and imaging of patients with mitral regurgitation (MR) and the management in routine clinical practice across Europe, the European Association of Cardiovascular Imaging Scientific Initiatives Committee performed a survey across European centres. In particular, the routine u...

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Bibliographic Details
Published in:European heart journal cardiovascular imaging 2024-04, Vol.25 (5), p.573-578
Main Authors: Holte, Espen, Podlesnikar, Tomaž, Carvalho, Fontes, Demirkiran, Ahmet, Manka, Robert, Martínez, Gabriela Guzmán, Michalski, Błażej, Pasquet Separovic, Agnès, Soliman-Aboumarie, Hatem, Shruti, Joshi S, Haugaa, Kristina H, Dweck, Marc R
Format: Article
Language:eng ; nor
Subjects:
Cardiac Imaging Techniques
EACVI Document
Echocardiography - methods
Echocardiography, Three-Dimensional - methods
Echocardiography, Transesophageal - methods
Europe
Female
Humans
Magnetic Resonance Imaging, Cine - methods
Male
Middle Aged
Mitral Valve Insufficiency - diagnostic imaging
Practice Patterns, Physicians' - statistics & numerical data
Severity of Illness Index
Societies, Medical
Surveys and Questionnaires
Citations: Items that this one cites
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Summary:To evaluate the diagnosis and imaging of patients with mitral regurgitation (MR) and the management in routine clinical practice across Europe, the European Association of Cardiovascular Imaging Scientific Initiatives Committee performed a survey across European centres. In particular, the routine use of echocardiography, advanced imaging modalities, heart valve clinics, and heart valve teams was explored. A total of 61 responders, mainly from tertiary centres or university hospitals, from 26 different countries responded to the survey, which consisted of 22 questions. For most questions related to echocardiography and advanced imaging, the answers were relatively homogeneous and demonstrated good adherence to current recommendations. In particular, the centres used a multi-parametric echocardiographic approach and selected the effective regurgitant orifice and vena contracta width as their preferred assessments. 2D measurements are still the most widely used parameters to assess left ventricular structure; however, the majority use 3D trans-oesophageal echocardiography (TOE) to evaluate valve morphology in severe MR. The majority of centres reported the onsite availability and clinical use of ergometric stress echocardiography, cardiac computed tomography (CCT), and cardiac magnetic resonance (CMR) imaging. Heart valve clinics and heart valve teams were also widely prevalent. Consistent with current guidelines, echocardiography (transthoracic echocardiography and TOE) remains the first-line and central imaging modality for the assessment of MR although the complementary use of 3D TOE, CCT, and CMR appears to be growing. Heart valve clinics and heart valve teams are now widely prevalent.
ISSN:2047-2404
2047-2412
2047-2412
DOI:10.1093/ehjci/jeae053