Mitral regurgitation: Treatment

- Prophylaxis of IE and rheumatic fever -Asymptomatic: no meds or physical restriction 1- Medication- if LVD or dysfunction present a) ACEI/B-blockers b)HR Control: RAAS inhibitors, Beta blockers, CCB, amiodarone - A.fib c) Anticoagulants eg Vit.K antagonists, warfarin -thromboembolic complication. 2- Surgical/Interventional: a) Repair: Open or Mitraclip b) Replacement: Open with CPB