The study investigates how exercise affects mitral regurgitation (MR) severity in patients with atrial functional mitral regurgitation (aFMR), highlighting discrepancies between symptoms and echocardiographic findings at rest.
Conducting handgrip exercise echocardiography on 80 patients, it was found that a significant number showed changes in MR severity during exercise, with 35% being reclassified based on their exercise response.
The follow-up revealed that patients with severe MR at rest and those whose MR became severe during exercise experienced higher rates of adverse events, suggesting exercise testing may influence treatment decisions for those with mild aFMR at rest.
The study investigates how exercise affects mitral regurgitation (MR) in patients with degenerative MR (DegMR) and functional MR (FMR), highlighting that exercise testing reveals important changes in MR severity and impacts patient outcomes.
Out of 367 patients, 19% of those with DegMR and 28% with FMR experienced an increase in MR severity during handgrip exercise, which was linked to changes in heart function and pulmonary pressure.
Findings suggest that handgrip exercise echocardiography can help assess MR's dynamic nature and may inform treatment strategies, especially for patients with non-severe MR who show significant changes during exercise.