Secondary MR

Secondary MR Severity

Assess secondary (functional) mitral regurgitation severity using ACC/AHA 2020 severe-range criteria. Secondary MR must be interpreted in the context of LV function, symptoms, pulmonary pressure, and HF therapy response — not quantitative values alone.

ACC/AHA VHD 2020

Input

Enter available values — partial input is supported.

MR mechanism

Qualitative assessment

Qualitative grade

Quantitative parameters

Severe-range ≥ 0.40 cm² (same as primary MR — ACC/AHA 2020)

Severe-range ≥ 60 mL/beat (same as primary MR — ACC/AHA 2020)

Severe-range ≥ 50%

Severe-range ≥ 0.70 cm

Pulmonary vein systolic flow

LV context

LV dysfunction < 50% in secondary MR context

Optional

Optional

Symptom status

Severity assessment

Enter mechanism, qualitative grade, or quantitative parameters to receive an assessment.

Learn the echo reasoning pathway

Review how valve severity, LV function, filling pressures, and intraoperative TEE findings connect in perioperative echo assessment.

Open Echo Education