门诊病人二尖瓣返流手术时机的判断.pptVIP

* Following the Outpatient with Severe Mitral Regurgitation Marilyn Weigner MD RIACC 9/02 Mitral Regurgitation Potentially surgical: moderate to severe or severe mitral regurgitation Probably not surgical: mild or mild to moderate mitral regurgitation How closely should I follow a patient with severe mitral regurgitation? Should the specific mitral valve anatomy influence timing of intervention? Are medications (ACE inhibitors/ beta blockers) useful in these patients? When should I refer to a cardiologist? Is it “too late”? The patient is a 44 year old man with mitral valve prolapse an