Mitral valve deformation
Coaptation distance ≥1 cm
Tenting area >2.5–3 cm2
Complex jets
Posterolateral angle >45°
Local LV remodelling
Interpapillary muscle distance >20 mm
Posterior papillary-fibrosa distance >40 mm
Lateral wall motion abnormality
Global LV remodelling
EDD >65 mm, ESD >51 mm (ESV >140 mL)
Systolic sphericity >0.7

EDD = end-diastolic diameter; ESD = end-systolic diameter; ESV = end-systolic volume; LV = left ventricle.