Editorial
Detection and significance of subclinical mitral regurgitation by colour Doppler techniques
| The first 150 words of the full text of this article appear below. |
Two
papers in this issue demonstrate clinical consequences from the
presence of clinically silent mitral regurgitation in paediatric and
adolescent populations. Both are potentially important as the
development of progressive doxorubicin cardiomyopathy1 and
the presence of rheumatic carditis2 have long term
implications. A parallel example, which highlights some of the problems
inherent in attempting to derive clinical conclusions from the presence of mild regurgitation in an adult population, exists in the recent "phen/fen" controversy.3 Attempting to extract useful
prognostic information from the presence of clinically silent, Doppler
detected, mitral regurgitation through morphologically normal valves is not new
its negative impact on the prognosis of acute infarction has
been recognised for over a decade.4 However, a fundamental prerequisite in attempting to utilise this type of information is an
appreciation of the factors which underlie the presence of the colour
flow signal. The appearance of mitral regurgitation is dependent upon
the mechanical
This article has been cited by other articles:
-
Meira, Z M A, Goulart, E M A, Colosimo, E A, Mota, C C C
(2005). Long term follow up of rheumatic fever and predictors of severe rheumatic valvar disease in Brazilian children and adolescents. Heart
91: 1019-1022
[Abstract] [Full Text]
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