Abstract
Introduction: Mitral valve disease is rapidly increasing worldwide as life expectancy rises and healthcare continues to improve.
Content: Mitral valve interventions remain a challenge for many interventional centers both in Vietnam and globally. A thorough understanding of the typical hemodynamic changes in mitral stenosis and regurgitation—including alterations in atrial pressure, left ventricular pressure, pulmonary circulation, as well as key waveforms and pressure curves in cardiac catheterization—and the correlation between invasive hemodynamic assessment and non-invasive imaging modalities, along with recognition of common sources of error, is essential for the advancement of percutaneous techniques such as balloon mitral valvotomy and transcatheter mitral valve repair.
Conclusion: Knowledge of the clinical hemodynamics of mitral valve disease enhances diagnostic accuracy, optimizes interventional indications, and improves treatment outcomes. The integration of imaging modalities with invasive hemodynamic assessment forms a crucial foundation for timely and appropriate clinical decision-making.