Evidence map›Paper›PMID 39998385›Full record

ReviewEchocardiography (Mount Kisco, N.Y.)2025

Functional Mitral Valve Regurgitation, Pathophysiology, Leaflet ReModeling, and the Role of Imaging.

Francesco Fulvio Faletra, Eluisa La Franca, Massimiliano Mulè, Alessandra Carvelli, Francesca Parisi, Giovanni Di Stefano, Rita Laura Borrello, Vincenzo Nuzzi, Paolo Manca, Manlio Cipriani

Abstract readReview
In one paragraph

Review in Echocardiography (Mount Kisco, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Francesco Fulvio FaletraClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.
Eluisa La FrancaClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.ORCID 0000-0003-3143-8577
Massimiliano MulèClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.
Alessandra CarvelliClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.
Francesca ParisiClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.
Giovanni Di StefanoClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.
Rita Laura BorrelloClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.
Vincenzo NuzziClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.
Paolo MancaClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.
Manlio CiprianiClinical Cardiology and Heart Failure Unit, Mediterranean Institute for Transplantation and Advanced Therapies (ISMETT), IRCCS, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Functional mitral regurgitation (FMR) is a complex left ventricle (LV) and left atrium (LA) disorder in which mitral valve regurgitation is just the "tip of the iceberg." Unlike primary mitral cvalve regurgitation, in which regurgitation occurs due to anatomic abnormalities of the valve itself, the etiology of FMR is multifactorial. Regional and global LV dysfunction, extent and location of fibrotic myocardium (subendocardial/transmural scar), and annulus enlargement are the leading causes of valve regurgitation. A comprehensive understanding of the causes, mechanisms, severity, and clinical consequences of FMVR relies primarily on noninvasive imaging techniques. Echocardiography is the first-line and most commonly used imaging technique. Cardiac magnetic resonance (CMR) has gained growing consensus mainly because it can precisely identify the extent and location of fibrotic myocardium. This review aims to: (a) describe the pathophysiology of the most common phenotypes of FMR, (b) challenge the paradigm that mitral leaflets are structurally normal in FMR, and (c) illustrate the critical role of both echocardiography and CMR in the comprehensive assessment of FMR.

Indexed as

EchocardiographyMagnetic Resonance ImagingMitral ValveMitral Valve InsufficiencyHumansfunctional mitral regurgitationmitral valvevalve disease

Identifiers

PMID39998385
PMCPMC11854047

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.