The assessment of mitral valve disease: A guideline from the British Society of Echocardiography

Shaun Robinson, Liam Ring, Daniel X. Augustine, Sushma Rekhraj, David Oxborough, Allan Harkness, Patrizio Lancellotti, Bushra Rana

Research output: Contribution to journalArticlepeer-review

9 Citations (SciVal)

Abstract

Mitral valve disease is common. Mitral regurgitation is the second most frequent indication for valve surgery in Europe and despite the decline of rheumatic fever in Western societies, mitral stenosis of any aetiology is a regular finding in all echo departments. Mitral valve disease is, therefore, one of the most common pathologies encountered by echocardiographers, as both a primary indication for echocardiography and a secondary finding when investigating other cardiovascular disease processes. Transthoracic, transoesophageal and exercise stress echocardiography play a crucial role in the assessment of mitral valve disease and are essential to identifying the aetiology, mechanism and severity of disease, and for helping to determine the appropriate timing and method of intervention. This guideline from the British Society of Echocardiography (BSE) describes the assessment of mitral regurgitation and mitral stenosis, and replaces previous BSE guidelines that describe the echocardiographic assessment of mitral anatomy prior to mitral valve repair surgery and percutaneous mitral valvuloplasty. It provides a comprehensive description of the imaging techniques (and their limitations) employed in the assessment of mitral valve disease. It describes a step-wise approach to identifying: aetiology and mechanism, disease severity, reparability and secondary effects on chamber geometry, function and pressures. Advanced echocardiographic techniques are described for both transthoracic and transoesophageal modalities, including TOE and exercise testing.

Original languageEnglish
Pages (from-to)G87-G136
Number of pages50
JournalEcho Research and Practice
Volume8
Issue number1
DOIs
Publication statusPublished - 27 Sep 2021

Keywords

  • Mitral regurgitation
  • Mitral stenosis
  • Tranoesophageal echocardiography
  • Transthoracic echocardiography

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Advanced and Specialised Nursing

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