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{{ Family tree | | | | | | | |,|-|-|-|-|-|^|-|-|-|-|-|.| |}}
{{ Family tree | | | | | | | |,|-|-|-|-|-|^|-|-|-|-|-|.| |}}
{{ Family tree | | | | | | | C01 | | | | | | | | | | C02 | C01= Severe MR| C02= Progressive MR}}
{{ Family tree | | | | | | | C01 | | | | | | | | | | C02 | C01= Severe MR| C02= Progressive MR}}
{{ Family tree | | | | | | | |!| | | | | | | | | | | | }}
{{ Family tree | | | | | | | |!| | | | | | | | | | | |!|}}
{{ Family tree | | | | | | | D00 | | | | | | | | | | | D00= Is the patient symptomatic?}}
{{ Family tree | | | | | | | D00 | | | | | | | | | | |!| D00= Is the patient symptomatic?}}
{{ Family tree | | | |,|-|-|-|^|-|-|-|.| | | | | | | |!| }}
{{ Family tree | | | |,|-|-|-|^|-|-|-|.| | | | | | | |!| }}
{{ Family tree | | | D01 | | | | | | D02 | | | | | | |!| D01= Yes <br> (Stage D)| D02= No <br> (Stage C)}}
{{ Family tree | | | D01 | | | | | | D02 | | | | | | |!| D01= Yes <br> (Stage D)| D02= No <br> (Stage C)}}

Revision as of 22:54, 1 September 2014

 
 
 
 
 
 
 
 
 
 
 
 
Primary MR
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Severe MR
 
 
 
 
 
 
 
 
 
Progressive MR
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Is the patient symptomatic?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
(Stage D)
 
 
 
 
 
No
(Stage C)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Is the LVEF>30%?
 
LVEF 30-60%
OR
LVESV≥40 mm
(Stage C2)
 
LVEF>60%
AND
LVESV<40 mm
(Stage C1)
 
New onset AF
OR
PASP>50 mmHg
(Stage C1)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Is the likelihood of success for the valve repair >95% and the expected mortality <1%?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No
 
Yes
 
 
 
Yes
 
 
No
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Mitral valve surgery (Class IIb)
 
 
Mitral valve surgery (Class I)
 
Mitral valve repair (Class IIa)
 
 
Periodic monitoring
 
Periodic monitoring