Valvular & structural heart disease

Prevalence and prognostic impact of dynamic atrial functional mitral regurgitation assessed by isometric handgrip exercise

Eur Heart J Cardiovasc ImagingPublished Prospective cohort study

Authors' conclusion

Handgrip exercise during echocardiography revealed exercise-induced changes in aFMR in every third patient.

Study context

Population
Patients with atrial functional mitral regurgitation (MR) (at least mild MR) undergoing handgrip exercise echocardiography, University Hospital Duesseldorf, 2019–2021median age 80
Participants
80 patients
Exposure
Severe MR at rest vs Exercise-induced dynamic severe MR vs Non-severe MR
  • Severe MR at restn = 17
Outcome
Prevalence, extent and prognostic impact of exercise-induced changes in atrial functional mitral regurgitation (aFMR)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Exercise-induced changes in MR severity

Non-severe MR at rest becoming severe during exercise

17.5%

Reclassification of MR severity with handgrip exercise

28 patients

35.0%

Observational data: associations, not effects.

Further findings

Adverse events · 1-year follow-up

  • Adverse events: P < 0.001

MR severity at rest

Mild MR
53.8%
Moderate MR
20 patients (25.0%)
Severe MR
17 patients (21.2%)

Original publication

Prevalence and prognostic impact of dynamic atrial functional mitral regurgitation assessed by isometric handgrip exercise. Eur Heart J Cardiovasc Imaging. Published 8 December 2023. doi:10.1093/ehjci/jead336

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