Multi-modality imaging assessment of native valvular regurgitation: an EACVI and ESC council of valvular heart disease position paper

Eur Heart J Cardiovasc Imaging. 2022 Apr 18;23(5):e171-e232. doi: 10.1093/ehjci/jeab253.


Valvular regurgitation represents an important cause of cardiovascular morbidity and mortality. Imaging is pivotal in the evaluation of native valve regurgitation and echocardiography is the primary imaging modality for this purpose. The imaging assessment of valvular regurgitation should integrate quantification of the regurgitation, assessment of the valve anatomy and function, and the consequences of valvular disease on cardiac chambers. In clinical practice, the management of patients with valvular regurgitation largely relies on the results of imaging. It is crucial to provide standards that aim at establishing a baseline list of measurements to be performed when assessing native valve regurgitation. The present document aims to present clinical guidance for the multi-modality imaging assessment of native valvular regurgitation.

Keywords: aortic valve; cardiac magnetic resonance imaging; computed tomography; echocardiography; expert’s consensus; mitral valve; pulmonary valve; tricuspid valve; valvular regurgitation.

MeSH terms

  • Echocardiography
  • Heart Valve Diseases* / diagnostic imaging
  • Humans
  • Mitral Valve Insufficiency* / diagnostic imaging
  • Multimodal Imaging
  • Tricuspid Valve Insufficiency* / diagnostic imaging