Atrial Functional Mitral Regurgitation, Mitral Insufficiency
Conditions
Keywords
atrial functional mitral regurgitation, AFMR, atrial secondary mitral regurgitation, ASMR, mitral valve transcatheter edge-to-edge repair, M-TEER
Brief summary
This investigator-initiated, multicenter, international, retrospective registry aims to investigate outcomes of patients with atrial functional mitral regurgitation, as treated in clinical routine.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* functional mitral regurgitation * left ventricular ejection fraction ≥50%
Exclusion criteria
* age under 18 years * known regional wall movement disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite of all-cause mortality and heart-failure related rehospitalitzation | 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality | 12 months | — |
| Cardiovascular mortality | 12 months | — |
| Heart failure related rehospitalization | 12 months | Incidence of new-onset or worsening signs and symptoms of heart failure that required urgent therapy and resulted in hospitalization. |
| Residual Mitral Regurgitation ≤1+ | 12 months | Rate of patients achieving residual mitral regurgitation ≤1+ measured by transthoracic echocardiography. Assessment of mitral regurgitation severity according to current guidelines (ESC/EACTS and ACC/AHA) for valvular heart disease. |
| New York Heart Association (NYHA) class III or IV | 12 months | Assessment of New York Heart Association (NYHA) classification stage (in- or outpatient), with the minimum of I (no symptoms) and the maximum of IV (dyspnea at rest), with higher values indicating worse functional capacity. |
| 6 Minute Walking Distance | 12 months | — |
| Unplanned mitral valve intervention | 12 months | Incidence of unplanned surgical or transcatheter re-intervention, heart transplantation or left ventricular assist device implantation. |
Countries
Canada, France, Germany, Italy, Spain, United States