Valvular & structural heart disease

Imaging Methods for Evaluation of Chronic Aortic Regurgitation in Adults: JACC State-of-the-Art Review

J Am Coll CardiolPublished Expert panel workshop report

Methodological detailsglobal multidisciplinary workshop
  • Global multidisciplinary workshop

Recommendations

As issued by the authors

  1. Echocardiography is the primary imaging modality for assessing aortic regurgitation (AR) severity; CMR may help when data are incongruent or incomplete

  2. Assessment of LV size and function is crucial in determining the timing of intervention

  3. Recent evidence suggests current cutpoints for intervention in asymptomatic severe AR require further scrutiny

  4. LV end-systolic volume index has emerged as an additional parameter with promise in guiding timing of intervention

  5. The role of additional factors (global longitudinal strain, regurgitant fraction, myocardial extracellular volume) is worthy of future investigation

Original publication

Imaging Methods for Evaluation of Chronic Aortic Regurgitation in Adults: JACC State-of-the-Art Review. J Am Coll Cardiol. Published 14 November 2023. doi:10.1016/j.jacc.2023.08.051

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