{"id":11474,"date":"2014-01-02T14:42:58","date_gmt":"2014-01-02T14:42:58","guid":{"rendered":"http:\/\/cardiophile.org\/?p=11474"},"modified":"2014-01-02T14:42:58","modified_gmt":"2014-01-02T14:42:58","slug":"quantification-of-tethering-of-mitral-valve-in-ischemic-mr","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/quantification-of-tethering-of-mitral-valve-in-ischemic-mr\/","title":{"rendered":"Quantification of tethering of mitral valve in ischemic MR"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Quantification of tethering of mitral valve in ischemic MR<\/span><\/h2>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/DCGuUcfot5w\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Quantification of tethering of mitral valve in ischemic MR: Both two dimensional and three dimensional echocardiography are useful in quantifying the tethering of mitral leaflets in ischemic mitral regurgitation (IMR).<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Tenting area:\u00a0<\/strong><\/span><\/p>\n<p>Tenting area is measured by two dimensional echocardiography as the area from the mitral leaflets to the annular plane in mid systole.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Coaptation height \/ depth:<\/strong><\/span><\/p>\n<p>It is the maximal distance from the leaflet tips to the annular plane. Coaptation depth has been correlated with the severity of ischemic mitral regurgitation.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Tethering volume:\u00a0<\/strong><\/span><\/p>\n<p>Tethering volume is the volume from the leaflets to the annular plane, <span style=\"color: #ff00ff;\">measured by three dimensional echocardiography<\/span>.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Tethering distance:\u00a0<\/strong><\/span><\/p>\n<p>Tethering distance is the distance from the papillary muscle tip to the mitral annulus, <span style=\"color: #ff00ff;\">measured by three dimensional echocardiography<\/span>.<\/p>\n<p>Tethering of mitral leaflets is secondary to dilatation of the left ventricle with outward displacement of papillary muscles [1].<\/p>\n<p>Mitral regurgitation due to tethering has been classified into asymmetric group with predominant posterior tethering of both leaflets and a symmetric group with predominantly apical tethering of both leaflets [2].<\/p>\n<p><span style=\"color: #0000ff;\"><strong>References<\/strong><\/span><\/p>\n<ol>\n<li>Nozomi Watanabe , Yasuo Ogasawara, Yasuko Yamaura, Takahiro Kawamoto, Eiji Toyota, Takashi Akasaka, Kiyoshi Yoshida. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15734623\/\">Quantitation of mitral valve tenting in ischemic mitral regurgitation by transthoracic real-time three-dimensional echocardiography<\/a>. J Am Coll Cardiol. 2005 Mar 1;45(5):763-9.<\/li>\n<li>Eustachio Agricola, Michele Oppizzi, Francesco Maisano, Michele De Bonis, Arend F L Schinkel, Lucia Torracca, Alberto Margonato, Giulio Melisurgo, Ottavio Alfieri. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15341868\/\">Echocardiographic Classification of Chronic Ischemic Mitral Regurgitation Caused by Restricted Motion According to Tethering Pattern<\/a>. Eur J Echocardiogr. 2004 Oct;5(5):326-34.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Quantification of tethering of mitral valve in ischemic MR Quantification of tethering of mitral valve in ischemic MR: Both two dimensional and three dimensional echocardiography are useful in quantifying the tethering of mitral leaflets in ischemic mitral regurgitation (IMR). Tenting area:\u00a0 Tenting area is measured by two dimensional echocardiography as the area from the mitral [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":34504,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[8],"tags":[804,805,1942,3866,3870,3871,3872,3873,3892],"class_list":["post-11474","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-echocardiogram-library","tag-coaptation-depth","tag-coaptation-height","tag-ischemic-mitral-regurgitation","tag-tenting-area","tag-tethering-distance","tag-tethering-of-mitral-valve","tag-tethering-of-mitral-valve-in-ischemic-mr","tag-tethering-volume","tag-three-dimensional-echocardiography"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Quantification of tethering of mitral valve in ischemic MR - 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