Mitral Regurgitation

Question 1

Class I for surgery

Answer 1

Severe, symptomatic EF >30%
EF <60
LVESED >= 40
Repair > replacement if posterior or feasible 
Other cardiac surgery

Question 2

Type 1 movement MR

Answer 2

Normal

Question 3

Type 2 movement MR

Answer 3

Excessive

Mostly degenerative

Question 4

Type 3 movement MR

Answer 4

Restricted movement
A = diastole
B = systole

Question 5

Severe jet MR

Answer 5

Large central jet > 50% of LA

Eccentric wall-impinging jet

Question 6

Severe flow convergence MR

Answer 6

Large, throughout systole

Question 7

Severe PV MR

Answer 7

Systolic flow reversal

Question 8

Severe ERO MR

Answer 8

> = 0.40

Question 9

Severe RVol

Answer 9

> = 60

Question 10

Severe RF MR

Answer 10

> = 50%

Question 11

MV RVol eq

Answer 11

Rvol = MV SV - AV SV

Question 12

ERO using RVol MR

Answer 12

Rvol / R VTI

Question 13

Flow by PISA

Answer 13

2pi x aliasing velocity x r2

Question 14

ERO by PISA MR

Answer 14

ERO = flow / velocity

Question 15

Measure for holystolic MR

Answer 15

ERO > Rvol

Question 16

Measure for end-systolic MR

Answer 16

Rvol > ERO

Question 17

LAVI for mortality

Answer 17

> 60

Question 18

SPAP for prognosis MR

Answer 18

> = 50 mm Hg

Question 19

PISA angle correction for jet from commissures close to LV wall

Answer 19

EROA * peak MR velocity = 2pir2 * aliasing velocity * angle/180

Question 20

RVol from ERO

Answer 20

RVol = ERO * R VTI