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Editorial Variation and the Way Forward Zainab Samad, MD, MHS; Pamela S. Douglas, MD he timing of surgical intervention in primary mitral regurgita- with substantial overuse in trace/mild MR and worrisome Ttion (MR) remains a subject of controversy, as the decision underuse in severe MR compared with guidelines. must balance the risks of surgery against the adverse outcomes The novelty of the present study lies in its evaluation of associated with advanced left ventricular remodeling. To provide healthcare delivery patterns in chronic MR where potential clinicians with a management framework, national standards exists for both under and overutilization of echocardiographic documents identify the presence of symptoms, left ventricular studies. A large sample size, the linking of a large, longitu- dysfunction, enlarged left ventricular dimensions, and elevated dinal echocardiographic database to demographic data and pulmonary pressures as triggers for surgery in chronic severe pri- provider characteristics, and insights provided into real-world 1–3 mary MR. Achieving optimal outcomes in primary MR rests on practice patterns in the care of patients with MR represent the timely identification of these surgical triggers, which, in turn, unique strengths of this investigation. Similar to the large is incumbent on careful, longitudinal, clinical, and echocardio- body
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Aug 1, 2017
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