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;
2007-01-01
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
