Native mitral valve regurgitation - Proactive management can improve outlook

Mitral regurgitation, which involves retrograde flow of blood from the left ventricle into the left atrium, is a relatively common disorder, particula rly in older patients. Numerous causes have been identified, and this valve abnormality should be considered in all patients who have evidence of syst olic heart failure. Repair of the valve, rather than valve replacement, now is the procedure of choice for many patients. In this article, Dr Scott re views physical findings, diagnostic studies, and proactive management of th is complex disorder.