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“RFEF” & mitral regurgitation jet direction: surrogate markers for likelihood of left ventricle reverse remodelling in patients with moderate chronic ischemic mitral regurgitation

  • Shiv Kumar ChoudharyEmail author
Inivited Editorial
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In this issue of the journal, Siddiqui and colleagues have tried to find an answer to a very important and frequently encountered clinical problem [1].

Ischaemic mitral regurgitation (IMR) is defined as functional mitral regurgitation caused by changes in the myocardium. It is caused by left ventricular (LV) remodelling and dilatation after myocardial infarction [2]. After myocardial infarction, the prevalence of IMR varies from 20 to 50%. The presence of moderate or severe IMR is associated with a 3-fold increased risk of heart failure (HF) and a 1.6-fold increased risk of death at 5 years follow-up. IMR, complicating the patients with coronary artery disease (CAD), is associated with poor long-term outcomes and survival. The management of moderate chronic IMR is still in the grey zone, and further elaboration of this variant is the need of the hour [1].

The proposed mechanism, accepted widely, corresponds to LV remodelling, dilatation and dysfunction leading to geometric changes in...

Notes

Compliance with ethical standards

Conflict of interest

The author declares no conflict of interest.

References

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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.The Department of Cardiothoracic & Vascular SurgeryAll India Institute of Medical ScienceNew DelhiIndia

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