Managing myocardial infarction complicated by mitral regurgitation

J. E. Tcheng, J. D. Jackman, R. M. Califf, R. S. Stack

Research output: Contribution to journalReview articlepeer-review


Acute ischemic mitral regurgitation associated with myocardial infarction can be diagnosed by Doppler echocardiography or cardiac catheterization with ventriculography. Hemodynamically stable patients should be managed medically, with afterload reduction; unstable patients or those with moderately severe to severe mitral regurgitation should undergo serial echocardiography after reperfusion of the infarct artery to assess for restoration of valvular competence. If valvular competence is not recovered, surgical revascularization with valve repair or replacement may be needed.

Original languageEnglish (US)
Pages (from-to)40-48
Number of pages9
JournalPrimary Cardiology
Issue number10
StatePublished - Jan 1 1993

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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