Avaliar regurgitação Mitral é difícil e discordante

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http://imaging.onlinejacc.org/article.aspx?articleid=1109560

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Conclusions

The VC and PISA measurements for distinction of severe versus nonsevere MR are only modestly reliable and associated with suboptimal interobserver agreement. The presence of an identifiable effective regurgitant orifice improves reproducibility of VC and a central regurgitant jet predicts substantial agreement among multiple observers of PISA assessment.

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É uma pena mas é verdade.

Todos os métodos de avaliação do refluxo são falhos.

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