Regurgitant fraction ($\mathrm{RF}=V_R/V_T$)

The regurgitant fraction is the proportion of a valve-related total ejected blood volume that returns through the leaking valve. For the left ventricular balance used to assess mitral regurgitation, let $V_T$ be total ventricular stroke volume, $V_F$ the matched forward aortic volume and $V_R$ the regurgitant volume. With no other abnormal communication or confounding valve leak,The imaging recommendations use complementary volume and flow measurements to quantify these quantities.^[ref]

An original example takes $V_T=100$ mL and $V_F=70$ mL. Then $V_R=30$ mL and RF is 30%. The quotient $30/70\approx 42.9\%$ instead expresses leakage relative to forward delivery; it is not the same fraction. The denominator is part of the definition.

Equal fractions also need not indicate equal transported amounts. A 30 mL leak out of 100 mL and a 60 mL leak out of 200 mL both have RF 30%. Conversely, an unchanged 30 mL regurgitant volume gives RF 50% if total ejection falls to 60 mL. These stipulated cases isolate the normalization rather than assigning a clinical severity category.

The two measurements in a derived RF may share errors. For $r=1-F/T$, first-order propagation givesThe covariance term should follow the actual acquisition and data reduction, rather than assuming independence because forward and total volume have different names.^[ref]

RF is therefore a normalized transport quantity. A peak jet velocity, a valve image and ejection fraction provide other information; none supplies RF without the matching flow or volume model. Specify the valve, flow convention and acquisition interval when comparing measurements.