Positional mitral regurgitation: a dynamic phenomenon.

IF 1.5 The international journal of cardiovascular imaging Pub Date : 2025-05-01 Epub Date: 2025-03-05 DOI:10.1007/s10554-025-03364-3
Marta Leite, Eduardo Vilela, Jorge Oliveira, Ricardo Fontes-Carvalho
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Abstract

Mitral regurgitation (MR) is a dynamic condition influenced by positional changes and physical stress. We report a case of severe positional MR in a 74-year-old woman with dilated cardiomyopathy, highlighted by echocardiographic findings of leaflet tethering and restricted mobility. Upright positioning significantly alleviated symptoms and MR severity, underscoring the impact of hemodynamic factors on its clinical presentation.

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位置性二尖瓣反流:一种动态现象。
二尖瓣反流(MR)是一种受体位变化和生理应激影响的动态状态。我们报告一个74岁扩张型心肌病女性的严重位置MR病例,超声心动图结果突出显示小叶栓系和活动受限。直立体位可显著缓解症状和MR严重程度,强调血流动力学因素对其临床表现的影响。
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