FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 351:1681-1684 October 14, 2004 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article by Piérard, L. A. PubMed Citation

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 . . . [Full Text of this Article]

Source Information

From the Division of Cardiology, Massachusetts General Hospital, Boston.

This article has been cited by other articles:

• 2006 WRITING COMMITTEE MEMBERS, , Bonow, R. O., Carabello, B. A., Chatterjee, K., de Leon, A. C. Jr, Faxon, D. P., Freed, M. D., Gaasch, W. H., Lytle, B. W., Nishimura, R. A., O'Gara, P. T., O'Rourke, R. A., Otto, C. M., Shah, P. M., Shanewise, J. S. (2008). 2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation 118: e523-e661 [Full Text]  
• Bonow, R. O., Carabello, B. A., Chatterjee, K., de Leon, A. C. Jr, Faxon, D. P., Freed, M. D., Gaasch, W. H., Lytle, B. W., Nishimura, R. A., O'Gara, P. T., O'Rourke, R. A., Otto, C. M., Shah, P. M., Shanewise, J. S., Nishimura, R. A., Carabello, B. A., Faxon, D. P., Freed, M. D., Lytle, B. W., O'Gara, P. T., O'Rourke, R. A., Shah, P. M. (2008). 2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 52: e1-e142 [Full Text]  
• Lancellotti, P., Donal, E., Cosyns, B., Van Camp, G., Monin, J.-L., Brochet, E., Berrebi, A., Pibarot, P., Chauvel, C., Hassager, C., Tumminello, G., Tribouilloy, C., Lafitte, S., Fraser, A. G., Derumeaux, G., Athanassopoulos, G., Bax, J., Pierard, L. A. (2008). Effects of surgery on ischaemic mitral regurgitation: a prospective multicentre registry (SIMRAM registry). Eur J Echocardiogr 9: 26-30 [Abstract] [Full Text]  
• Di Donato, M., Castelvecchio, S., Brankovic, J., Santambrogio, C., Montericcio, V., Menicanti, L. (2007). Effectiveness of surgical ventricular restoration in patients with dilated ischemic cardiomyopathy and unrepaired mild mitral regurgitation.. J. Thorac. Cardiovasc. Surg. 134: 1548-1553 [Abstract] [Full Text]  
• Joudinaud, T. M., Kegel, C. L., Flecher, E. M., Weber, P. A., Lansac, E., Hvass, U., Duran, C. M.G. (2007). The papillary muscles as shock absorbers of the mitral valve complex. An experimental study. Eur. J. Cardiothorac. Surg. 32: 96-101 [Abstract] [Full Text]  
• Borger, M. A., Murphy, P. M., Alam, A., Fazel, S., Maganti, M., Armstrong, S., Rao, V., David, T. E. (2007). Initial results of the chordal-cutting operation for ischemic mitral regurgitation. J. Thorac. Cardiovasc. Surg. 133: 1483-1492 [Abstract] [Full Text]  
• Maron, M. S., Olivotto, I., Zenovich, A. G., Link, M. S., Pandian, N. G., Kuvin, J. T., Nistri, S., Cecchi, F., Udelson, J. E., Maron, B. J. (2006). Hypertrophic Cardiomyopathy Is Predominantly a Disease of Left Ventricular Outflow Tract Obstruction. Circulation 114: 2232-2239 [Abstract] [Full Text]  
• Bonow, R. O., Carabello, B. A., Chatterjee, K., de Leon, A. C. Jr, Faxon, D. P., Freed, M. D., Gaasch, W. H., Lytle, B. W., Nishimura, R. A., O'Gara, P. T., O'Rourke, R. A., Otto, C. M., Shah, P. M., Shanewise, J. S., Smith, S. C. Jr, Jacobs, A. K., Adams, C. D., Anderson, J. L., Antman, E. M., Faxon, D. P., Fuster, V., Halperin, J. L., Hiratzka, L. F., Hunt, S. A., Lytle, B. W., Nishimura, R., Page, R. L., Riegel, B. (2006). ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Developed in Collaboration With the Society of Cardiovascular Anesthesiologists Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. J Am Coll Cardiol 48: e1-e148 [Full Text]  
• Bonow, R. O., Carabello, B. A., Chatterjee, K., de Leon, A. C. Jr, Faxon, D. P., Freed, M. D., Gaasch, W. H., Lytle, B. W., Nishimura, R. A., O'Gara, P. T., O'Rourke, R. A., Otto, C. M., Shah, P. M., Shanewise, J. S., Smith, S. C. Jr, Jacobs, A. K., Adams, C. D., Anderson, J. L., Antman, E. M., Faxon, D. P., Fuster, V., Halperin, J. L., Hiratzka, L. F., Hunt, S. A., Lytle, B. W., Nishimura, R., Page, R. L., Riegel, B. (2006). ACC/AHA 2006 Practice Guidelines for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Developed in Collaboration With the Society of Cardiovascular Anesthesiologists Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. J Am Coll Cardiol 48: 598-675 [Full Text]  
• Borger, M. A., Alam, A., Murphy, P. M., Doenst, T., David, T. E. (2006). Chronic Ischemic Mitral Regurgitation: Repair, Replace or Rethink?. Ann. Thorac. Surg. 81: 1153-1161 [Abstract] [Full Text]  
• Levine, R. A., Schwammenthal, E. (2005). Ischemic Mitral Regurgitation on the Threshold of a Solution: From Paradoxes to Unifying Concepts. Circulation 112: 745-758 [Full Text]  
• Otto, C. M., Salerno, C. T. (2005). Timing of Surgery in Asymptomatic Mitral Regurgitation. NEJM 352: 928-929 [Full Text]  
• (2005). Ischemic Mitral Regurgitation in Some Cases of Acute Pulmonary Edema. Journal Watch Cardiology 2005: 5-5 [Full Text]