# Mitral Regurgitation FocusClass

## Metadata
- Content type: Course
- Canonical URL: https://123sonography.com/course/mitral-regurgitation-focusclass
- Published: December 11, 2024
- Last updated: April 2, 2026
- Category: Echo
- Course Type: FocusClass

## Overview
The Mitral Regurgitation FocusClass offers a comprehensive and practical approach to mastering the evaluation and management of mitral regurgitation. Through 4 hours of engaging video content, you’ll explore the pathomechanism and different grades of mitral regurgitation, their echocardiographic assessment, decision-making for valve surgery, and advanced imaging techniques. The course includes 6 chapters with patient demonstrations, real-life cases, and expert tips to ensure you gain actionable knowledge for clinical practice.

## Media
![mr fc](https://123sonography.com/sites/default/files/2025-12/03_mr_quantification_filmed.001.jpeg)

## Snapshot
- Duration: 5.1 hours
- Total CME credits that can be earned: 4
- Chapters: 7
- Lectures: 35
- Quizzes: 6

## Intended Audience
- Cardiologists
- Critical Care Physicians
- Sonographers
- Internists
- Anaesthetists

## Faculty
- [Prof. Thomas Binder, MD, FESC](/speaker/30) - Cardiologist, Head of Digital Learning; Medical University of Vienna

## Learning Objectives
- Understand the and pathomechanism of mitral regurgitation and accurately assess its severity using echocardiographic techniques
- Determine the appropriate timing and criteria for valve surgery based on patient-specific factors
- Master practical imaging skills, including the identification of mitral valve segments and origin detection of regurgitant jets

## Topics
- Cardiology
- Emergency & Critical Care
- Anaesthesiology

## Pricing Options
- Supported currencies: AED, CLP, COP, EGP, EUR, INR, MXN, PEN, QAR, USD

### Half-Year Access
- Payment type: One-time payment
- Price: €315
- Currency: EUR
- Access duration: 6 months
- Add to cart: /add-to-cart/303/1201
Our shortest option for very fast learners. Ideal for people who have plenty of time to learn.

You get:

- 6 months access to our course
- Ability to complete quizzes and earn CME credits

### One-Year Access
- Payment type: One-time payment
- Price: €441
- Currency: EUR
- Access duration: 12 months
- Add to cart: /add-to-cart/303/1204
Our most recommended access duration to dive deep into the course. Save 30% on the 6-month option.

You get:

- 12 months access to our course
- Ability to complete quizzes and earn CME credits

### Two-Year Access
- Payment type: One-time payment
- Price: €756
- Currency: EUR
- Access duration: 24 months
- Add to cart: /add-to-cart/303/1207
If you want to take your time learning, this option is perfect for you. Save 40% on the 6-month option.

You get:

- 24 months access to our course
- Ability to complete quizzes and earn CME credits

## CME Information

### Introduction

The goal of this activity is to provide online education for the course Mitral Regurgitation FocusClass. This activity is intended for Cardiologists, Critical Care Sonographers, Intensivists, Anaesthetists, Internists.

### Financial disclosures

Prof. Dr. Thomas Binder does not have any relevant financial relationship with ineligible companies to disclose; Staff at Siyemi Learning and 123 Sonography do not have any relevant financial relationship with ineligible companies to disclose.

This course is certified for CME, further information on how to claim your CME credits can be found below.

### CME information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Siyemi Learning and 123 Sonography. Siyemi Learning is accredited by the ACCME to provide continuing medical education for physicians.

Siyemi Learning designates this enduring material for a maximum of 4 *AMA PRA Category 1 Credits™*. Physicians should claim only the credits commensurate with the extent of their participation in the activity.

![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/accme.png) ![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/siyemi.png)

### How to earn your CME credit

In order to earn credit, you must watch the videos, take the quiz (pass mark 75%) and complete the evaluation. While you can claim CME certificates as you work through each chapter, if you prefer (e.g. if you are only able to use full credits because you are based in Europe) you can claim a single certificate for your total activity in this course. You will need to pass the quiz at the end of each chapter you complete, then just let us know you are ready to claim your certificate. Send a mail to <office@123sonography.com>.

Release date: December 2025
Expiry date: December 2028

## Curriculum

### Free lectures
- Chapter content: 3 lectures and 0 quizzes
- Lecture: [Epidemiology and natural history](/course/mitral-regurgitation-focusclass#sg_course_lecture_7092) (Duration: 00:08; Free)
- Lecture: [Overview](/course/mitral-regurgitation-focusclass#sg_course_lecture_7093) (Duration: 00:05; Free)
- Lecture: [Structural MR - Segmental Anatomy](/course/mitral-regurgitation-focusclass#sg_course_lecture_7094) (Duration: 00:07; Free)

### Principles of MR
This chapter gives an overview of the epidemiology of mitral valve pathologies and introduces the anatomy and hemodynamic functioning of the mitral valve. It also covers the practical aspect of how to image the MV and the subvalvular apparatus using apical, parasternal, and subcostal echocardiographic views.
- Chapter content: 6 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.75
- Lecture: [Epidemiology and natural history](/course/mitral-regurgitation-focusclass#sg_course_lecture_7065) (Duration: 00:08)
- Lecture: [Hemodynamics](/course/mitral-regurgitation-focusclass#sg_course_lecture_7066) (Duration: 00:12)
- Lecture: [Mitral Valve Anatomy](/course/mitral-regurgitation-focusclass#sg_course_lecture_7067) (Duration: 00:06)
- Lecture: [Imaging the Mitral Valve - Apical Views](/course/mitral-regurgitation-focusclass#sg_course_lecture_7068) (Duration: 00:08)
- Lecture: [Imaging the Mitral Valve - Parasternal Views](/course/mitral-regurgitation-focusclass#sg_course_lecture_7069) (Duration: 00:08)
- Lecture: [Imaging the Mitral Valve - Subvalvular Apparatus](/course/mitral-regurgitation-focusclass#sg_course_lecture_7070) (Duration: 00:06)
- CME Quiz: Mitral Regurgitation - Principles Quiz (CME: 0.75)

### Causes of MR
This chapter discusses the causes of mitral regurgitation, including primary structural abnormalities (prolapse, flail leaflet, annular disjunction, rheumatic or infectious disease) and secondary causes (functional MR, new entity: atrial functional MR).
- Chapter content: 9 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.75
- Lecture: [Overview](/course/mitral-regurgitation-focusclass#sg_course_lecture_7071) (Duration: 00:05)
- Lecture: [Mitral Valve Prolapse](/course/mitral-regurgitation-focusclass#sg_course_lecture_7095) (Duration: 00:10)
- Lecture: [Segmental Mitral Valve Prolpase](/course/mitral-regurgitation-focusclass#sg_course_lecture_7096) (Duration: 00:05)
- Lecture: [Mitral Annular Disjunction](/course/mitral-regurgitation-focusclass#sg_course_lecture_7097) (Duration: 00:08)
- Lecture: [Flail Leaflet](/course/mitral-regurgitation-focusclass#sg_course_lecture_7072) (Duration: 00:14)
- Lecture: [Rheumatic Heart Disease and Endocarditis](/course/mitral-regurgitation-focusclass#sg_course_lecture_7073) (Duration: 00:12)
- Lecture: [Rare Causes](/course/mitral-regurgitation-focusclass#sg_course_lecture_7074) (Duration: 00:11)
- Lecture: [Secondary (Functional) MR](/course/mitral-regurgitation-focusclass#sg_course_lecture_7075) (Duration: 00:10)
- Lecture: [Atrial Functional MR](/course/mitral-regurgitation-focusclass#sg_course_lecture_7098) (Duration: 00:06)
- CME Quiz: Mitral Regurgitation - Causes of MR Quiz (CME: 0.75)

### Quantification of MR
This chapter outlines the key methods for assessing mitral regurgitation severity, covering three main approaches: qualitative, semiquantitative methods, and quantitative methods (such as the PISA method).
- Chapter content: 4 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.75
- Lecture: [Qualitative Assessment](/course/mitral-regurgitation-focusclass#sg_course_lecture_7076) (Duration: 00:17)
- Lecture: [Semiquantitative Assessment](/course/mitral-regurgitation-focusclass#sg_course_lecture_7077) (Duration: 00:16)
- Lecture: [Quantitative Assessment](/course/mitral-regurgitation-focusclass#sg_course_lecture_7078) (Duration: 00:07)
- Lecture: [The PISA Method](/course/mitral-regurgitation-focusclass#sg_course_lecture_7079) (Duration: 00:12)
- CME Quiz: Mitral Regurgitation - Quantification Quiz (CME: 0.75)

### Mechanism of MR
This chapter explains how to identify the mechanisms of mitral regurgitation. Beginning with a solid understanding of segmental anatomy and the integration of color Doppler interpretation, you will learn how to recognize the underlying mechanisms. Special focus is placed on commissural prolapse and perforation. The distinction between structural and functional MR is clearly explained and illustrated. A complete patient examination provides hands-on tips for your clinical practice.
- Chapter content: 5 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Structural MR - Segmental Anatomy](/course/mitral-regurgitation-focusclass#sg_course_lecture_7080) (Duration: 00:07)
- Lecture: [Structural MR - Color Doppler](/course/mitral-regurgitation-focusclass#sg_course_lecture_7099) (Duration: 00:14)
- Lecture: [Commissural Prolapse and Perforation](/course/mitral-regurgitation-focusclass#sg_course_lecture_7081) (Duration: 00:06)
- Lecture: [Complete Assessment](/course/mitral-regurgitation-focusclass#sg_course_lecture_7088) (Duration: 00:06)
- Lecture: [Mechanism Mitral - functional MR](/course/mitral-regurgitation-focusclass#sg_course_lecture_7082) (Duration: 00:05)
- CME Quiz: Mitral Regurgitation - Mechanism of MR Quiz (CME: 0.5)

### MR in Mutlivalvular HD
This chapter explores mitral regurgitation in the context of multivalvular heart disease, examining its interaction with mitral stenosis, aortic stenosis, aortic regurgitation, and tricuspid regurgitation, and discussing the resulting hemodynamic and functional consequences.
- Chapter content: 4 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [MR and MS](/course/mitral-regurgitation-focusclass#sg_course_lecture_7083) (Duration: 00:04)
- Lecture: [MR and AS](/course/mitral-regurgitation-focusclass#sg_course_lecture_7084) (Duration: 00:05)
- Lecture: [MR and AR](/course/mitral-regurgitation-focusclass#sg_course_lecture_7085) (Duration: 00:05)
- Lecture: [MR and TR](/course/mitral-regurgitation-focusclass#sg_course_lecture_7086) (Duration: 00:04)
- CME Quiz: Mitral Regurgitation - MR and Multivalvular Heart Disease Quiz (CME: 0.5)

### Management and Future of MR
This chapter covers the differences in how to manage patients with mitral regurgitation depending on its causes, types, and severity. In addition, the role of symptoms, strain imaging, and stress echocardiography is discussed. Finally, the key parameters and recommended intervals for follow-up in these patients are reviewed.
- Chapter content: 4 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.75
- Lecture: [Structural MR](/course/mitral-regurgitation-focusclass#sg_course_lecture_7087) (Duration: 00:07)
- Lecture: [Functional MR](/course/mitral-regurgitation-focusclass#sg_course_lecture_7089) (Duration: 00:08)
- Lecture: [Specific Topics](/course/mitral-regurgitation-focusclass#sg_course_lecture_7090) (Duration: 00:09)
- Lecture: [Follow Up](/course/mitral-regurgitation-focusclass#sg_course_lecture_7091) (Duration: 00:02)
- CME Quiz: Mitral Regurgitation - Management Quiz (CME: 0.75)