Managing myocardial infarction complicated by mitral regurgitation


Journal Article (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.

Duke Authors

Cited Authors

  • Tcheng, JE; Jackman, JD; Califf, RM; Stack, RS

Published Date

  • January 1, 1993

Published In

Volume / Issue

  • 19 / 10

Start / End Page

  • 40 - 48

International Standard Serial Number (ISSN)

  • 0363-5104

Citation Source

  • Scopus