Dynamic Mitral Regurgitation — More Than Meets the Eye

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Abstract
Recollections of early medical training conjure up images of the master clinician standing beside the exercising patient, keenly observing the effects of disease. Exercise stress testing is a cornerstone of the evaluation of dynamic coronary insufficiency, providing diagnosis and prognosis. Valvular heart disease, in contrast, has been considered relatively static and has been managed largely on the basis of resting evaluation. Current clinical guidelines indicate that there is conflicting evidence regarding exercise testing in valvular disease and that no efficacy has been established; advocates suggest exploring the dynamics of the ventricle, not the valve.Ischemic mitral regurgitation consequent to myocardial . . .