Mitral Valve Dysfunction in Patients With Annular Calcification: JACC Review Topic of the Week.


Journal

Journal of the American College of Cardiology
ISSN: 1558-3597
Titre abrégé: J Am Coll Cardiol
Pays: United States
ID NLM: 8301365

Informations de publication

Date de publication:
16 08 2022
Historique:
received: 24 02 2022
revised: 30 05 2022
accepted: 31 05 2022
entrez: 11 8 2022
pubmed: 12 8 2022
medline: 16 8 2022
Statut: ppublish

Résumé

Mitral annular calcification (MAC) is a common clinical finding and is associated with adverse clinical outcomes, but the clinical impact of MAC-related mitral valve (MV) dysfunction remains underappreciated. Patients with MAC frequently have stenotic, regurgitant, or mixed valvular disease, and this valvular dysfunction is increasingly recognized to be independently associated with worse prognosis. MAC-related MV dysfunction is a distinct pathophysiologic entity, and importantly much of the diagnostic and therapeutic paradigm from published rheumatic MV disease research cannot be applied in this context, leaving important gaps in our knowledge. This review summarizes the current epidemiology, pathophysiology, diagnosis, and classification of MAC-related MV dysfunction and proposes both an integrative definition and an overarching approach to this important and increasingly recognized clinical condition.

Identifiants

pubmed: 35953139
pii: S0735-1097(22)05261-5
doi: 10.1016/j.jacc.2022.05.032
pmc: PMC10290884
mid: NIHMS1907284
pii:
doi:

Types de publication

Journal Article Review Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

739-751

Subventions

Organisme : NHLBI NIH HHS
ID : K23 HL159262
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL141917
Pays : United States

Informations de copyright

Copyright © 2022 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Funding Support and Author Disclosures This study was supported in part by a grant from the Ellison Foundation and by National Institutes of Health grant R01 HL141917 (Drs Levine and Hung). The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

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Auteurs

Timothy W Churchill (TW)

Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: https://twitter.com/TimChurchillMD.

Evin Yucel (E)

Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Sébastien Deferm (S)

Department of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium; Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.

Robert A Levine (RA)

Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Judy Hung (J)

Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Philippe B Bertrand (PB)

Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Department of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium; Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium. Electronic address: philippe.bertrand@zol.be.

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Classifications MeSH