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.

Reduction of mitral valve regurgitation caused by acute papillary muscle ischemia

CIANFLONE , DOMENICO;
2007

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.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/427
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