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.