A crucial step in the diagnostic process is determining how serious
your case of
mitral valve regurgitation (MR) is, because treatment
depends largely on severity. At a minimum, your doctor will use an
echocardiogram to gauge the condition of your mitral
valve, and depending on your specific situation, your doctor may need
additional information and extra diagnostic tests.
In determining the severity of your MR, your physician will look
I've discovered that most of the time, my life with a chronic disease can be
much like everyone else's. I am 41 years old. I am a father, husband, uncle,
nephew, and son. I am an ex-cop. And, to either the bemusement or bewilderment
of my friends and family, I am a former professional wrestler-the raucous,
fake, TV kind. I am a writer and the token male member on my office's women's
I am many things to many people. Most of all, I am a man with advanced heart
The size of the left ventricle at the end of the contraction (end
systolic dimension, or ESD). In chronic MR, the left ventricle expands in size
as it tries to accommodate the larger volumes of blood flowing into the
chamber. The larger the left ventricle, the more advanced the MR. This applies
only to the chronic form of the disease, since the left ventricle does not
expand in acute MR.
ejection fraction. This number shows the efficiency of
your heart. The ejection fraction is the amount of blood pumped out of the
ventricle (stroke volume) divided by the total amount of blood in the left
ventricle at rest. The smaller the ejection fraction, the harder your heart
must work to pump sufficient volumes of blood outward.
Also important is:
The size of the left atrium.
estimate of the pressure in the artery that takes blood to your lungs when the
heart contracts (pulmonary systolic pressure).
Examination of the
size of the leak, using a form of ultrasound called Doppler echocardiography
Whether there is evidence of reversal in the
blood flow from the lungs into the left atrium.
It is important to remember that the ejection fraction (EF) and end
systolic dimension (ESD) are not the final judges in determining the severity
of your condition. Your doctor will use these measurements, as well as the
others noted above and your symptoms, to determine the severity of your
Primary Medical Reviewer
E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer
George Philippides, MD - Cardiology
February 12, 2010
WebMD Medical Reference from Healthwise
February 12, 2010
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