🫀 Ischemic Mitral Regurgitation (IMR) – Ischemic MR occurs due to LV ischemia, not primary mitral valve disease. In LAD territory hypokinesia, anterior wall and papillary muscle dysfunction lead to: ✔️ Papillary muscle dysfunction ✔️ LV remodeling & annular dilatation ✔️ Apical leaflet tethering (tenting) ✔️ Reduced LV closing force 👉 Result: Incomplete leaflet coaptation → Functional MR 👉 Mitral leaflets are usually structurally normal Key point: Ischemic MR is a ventricular problem, not a v
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