Evidence map›Paper›PMID 40927944›Full record

ReviewESC heart failure2025

Epidemiology, pathophysiology, diagnosis and management of atrial functional mitral regurgitation: An expert opinion paper.

Matteo Pagnesi, Mauro Riccardi, Francesco Maisano, Julia Grapsa, Vassilis Barberis, Magdy Abdelhamid, Elena-Laura Antohi, Henrike Arfsten, Nicole Karam, Denisa Muraru and 5 more

Abstract readReview
In one paragraph

Review in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Matteo PagnesiInstitute of Cardiology, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-9298-7871
Mauro RiccardiInstitue of Cardiology, ASST Cremona, Cremona, Italy.
Francesco MaisanoDepartment of Cardiac Surgery, San Raffaele Scientific Institute, Milan, Italy.
Julia GrapsaHeart and Vascular Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Vassilis BarberisAmerican Medical Center, American Heart Institute, Nicosia, Cyprus.
Magdy AbdelhamidDepartment of Cardiovascular Medicine, Faculty of Medicine, Kasr Al Ainy, Cairo University, Giza, Egypt.
Elena-Laura AntohiEmergency Institute for Cardiovascular Diseases 'Prof. C.C. Iliescu', Bucharest, Romania.
Henrike ArfstenDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Nicole KaramCardiology Department, Clemenceau Medical Center, Balamand University, Beirut, Lebanon.
Denisa MuraruDepartment of Medicine and Surgery, Department of Medicine and Surgery, University of Milano-Bicocca, Department of Cardiolog, Istituto Auxologico Italiano, IRCCS, Milan, Italy.
Karl-Philipp RommelDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University and DZHK, German Center for Cardiovascular Research, Partner Site Rhein/Main, Mainz, Germany.
Anna SanninoDeutsches Herzzentrum der Charité, Berlin, Germany.
Wilfried MullensDepartment of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium.
Marianna AdamoInstitute of Cardiology, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Marco MetraInstitute of Cardiology, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial functional mitral regurgitation (AFMR) is an increasingly recognized subtype of mitral regurgitation, characterized by left atrial remodelling and mitral annular dilation in the absence of primary mitral valve disease or left ventricular dysfunction. Closely linked to chronic atrial fibrillation and heart failure with preserved ejection fraction, AFMR is associated with poor clinical outcomes and represents a growing therapeutic challenge. This expert opinion paper summarizes current evidence on the epidemiology, pathophysiology, diagnosis and management strategies, including medical therapy and emerging data supporting surgical and transcatheter interventions in selected patients. However, data from prospective controlled clinical trials are still lacking. Future research is needed to refine patient selection, long-term outcomes and to support evidence-based recommendations for this increasingly prevalent condition.

Indexed as

Disease ManagementHeart AtriaMitral ValveMitral Valve InsufficiencyGlobal HealthHumansStroke VolumeAtrial Fibrillationatrial functional mitral regurgitationexpert opinionHFpEFmitral regurgitation

Identifiers

PMID40927944
PMCPMC12719823

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.