Table 5.
Comparison between echocardiographic studies examining the prevalence of ischemic mitral regurgitation in STEMI population
| Author (Enrollment years) | N | MR prevalence (%) | Moderate or severe MR (%) | Treatment strategy | STEMI | F/U | Death (%) | Other | Mitral surgical correction (%) |
|---|---|---|---|---|---|---|---|---|---|
| Barzilai et al. [31](1985-1986) |
59 |
39 |
NR |
NR |
59% |
14 m |
MR (+): 48%, MR (0): 11% |
NR |
NR |
| Bursi et al. [2](1988-1998) |
773 |
50 |
12 |
NR |
59% |
5 y |
None: 28%, Mild: 38%, M-S: 60% |
CHF Adm |
NR |
| None: 16%, Mild: 26%, M-S: 65% | |||||||||
| Grigioni et al. [6](1990-1997) |
303 |
64 |
NR |
NR |
100% |
5 y |
MR (+): 62%, MR (0): 39% |
Card Death |
NR |
| MR (+): 50%, MR (0): 30% | |||||||||
| Amigoni et al. (Valiant study) [1](1998-2001) |
496 |
53 |
13 |
Thrombolytic (40%), PCI (19%) |
63% |
20 m |
None: 10%, Mild: 21%, M-S: 30% |
NR |
NR |
| Feinberg et al. [5](1996) |
417 |
35 |
6 |
Thrombolytic (42%), PTCA / CABG (41%) |
100% |
1 y |
None: 4.8%, Mild: 12.4%, M-S: 24% |
NR |
NR |
| Van Dantzig et al. [33](1991-1993) |
188 |
NR |
13 |
Thrombolytic (55%) |
62% |
NR |
NR |
NR |
NR |
| Leor et al. [32](N/A) |
104 |
33 |
11 |
Thrombolytic (100%) |
100% |
1 m |
NR |
NR |
NR |
| Aronson et al. [30](2000-2005) |
1190 |
46 |
6 |
PCI (30%) |
100% |
2 y |
None: 8%, Mild: 15%, M-S: 38% |
CHF Adm |
NR |
| None: 0.6%, Mild: 3.6%, M-S: 4% | |||||||||
| Barra et al. [16](2006-2008) |
796 |
45 |
15 |
PCI (56%) |
45% |
2 y |
None: 12%, Mild: 22%, M-S: 39% |
CHF Adm |
NR |
| None: 11%, Mild: 24%, M-S: 20% | |||||||||
| Chung et al. [4](2000-2002) |
519 |
56 |
15 |
PCI (81%) |
86% |
6 m |
None - Mild: 10%, M-S: 19% |
NR |
NR |
| Chua et al. [3](2000-2004) |
318 |
17 |
NR |
PCI (100%) |
100% |
7 y |
MR (+): 49%, MR (0): 26% |
NR |
NR |
| Wita et al. [15](N/A) |
83 |
42 |
NR |
PCI (100%) |
100% |
6 m |
NR |
NR |
NR |
| Uddin et al. [18](2003-2007) |
888 |
47 |
11 |
PCI (100%) |
100% |
5 y |
None: 13%, Mild: 18%, M-S: 34% |
NR |
None: 0%, Mild: 0%, M-S: 4% |
| MacHaalany et al. (2006–2012) | 174 | 44 | 11 | PCI (100%) | 100% | 1 y | None: 0%, Mild: 2%, M-S: 5% |
CHF Adm |
None: 0%, Mild: 0%, M-S: 26% |
| None: 0%, Mild: 2%, M-S: 5% |
MR: Mitral Regurgitation; STEMI: ST elevation Myocardial Infarction; F/U: follow-up; PTCA: Percutaneous transluminal coronary angioplasty; PCI: Percutaneous Coronary Intervention; CABG: Coronary Artery Bypass Grafting; M-S: moderate to severe MR; Card Death: Cardiovascular Death; CHF Adm: Congestive Heart Failure Admission; NR: Not Reported.