Clinical Case Database / Category: Patient Management

Mitral regurgitation & mitraclips

Publication details

Prof. Petros Nihoyannopoulos, Dr G S Kanaganayagam
Foundation Years Journal, volume 8, issue 2, p.38 (123Doc Education, London, February 2014)


The patient in our case has a complex cardiac history and presents with the common problem of breathlessness. The various cardiac causes for this are explored, identifying salient features that should be sought in the history of any patient presenting with the same problem. Features of his examination and a list of investigations identify his primary problem as mitral regurgitation (MR), with evidence behind some of the tests provided. Acute general management of MR expected from the Foundation doctor and longer term specialist management options are then explored, including the use of a MitraClip.

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Prof. Petros Nihoyannopoulos

Professor of Cardiology, President, European
Association of Echocardiographyof the ESC
Imperial College London, NHLI
Hammersmith Hospital
DuCane Road
W12 0NN, UK

Dr G S Kanaganayagam

Academic Cardiology Registrar
Hammersmith Hospital
Imperial College


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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