Patofyziologie mitrální regurgitace
Title in English | Pathophysiology of mitral regurgitation |
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Authors | |
Year of publication | 2023 |
Type | Article in Periodical |
Magazine / Source | Intervencni a Akutni Kardiologie |
MU Faculty or unit | |
Citation | |
Web | Intervenční a akutní kardiologie |
Doi | http://dx.doi.org/10.36290/kar.2023.001 |
Keywords | mitral regurgitation; left ventricular volume overload; LVEF |
Description | Mitral regurgitation is among the most common acquired valvular diseases in adulthood in developed countries. In terms of etiology, mitral regurgitation can be divided into a primary cause and a secondary cause. Pathophysiologically, it is an imbalance between tethering and closing forces. Regurgitant flow of blood from the left ventricle into the left atrium results in cyclic volume overload of the left ventricle. The significance of mitral regurgitation is dependent on preload, afterload, and cardiac output. First, there is an eccentric hypertrophy of the left ventricle, an increase in end-diastolic volume and, subsequently, also in end-systolic volume, while LVEF decreases. The most common secondary cause is ischemic mitral regurgitation. |