Publications by authors named "Rhys Gray"

Article Synopsis
  • This study investigates mitral annular disjunction (MAD) in patients with mitral valve prolapse (MVP) undergoing surgery, finding that MAD is present in about 29% of patients.
  • Patients with MAD were generally younger, had fewer cardiovascular risk factors, and exhibited specific anatomical features; most successfully underwent mitral repair with no post-surgical persistence of MAD.
  • Although postoperative ventricular arrhythmias were more common in patients with MAD, their overall mortality and other complications were similar to patients without MAD over an average follow-up of nearly four years.
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Coronary artery disease and heart failure are leading causes of morbidly and mortality, resulting in a substantial economic burden globally. Guidelines from the European Society of Cardiology and American Heart Association place adherence to medication and healthy lifestyle behaviors at the core of cardiovascular disease primary and secondary prevention strategies. The growing collective burden of cardiovascular disease is likely to eventually outgrow the available resources allocated for traditional care provision, such as nurse-led outreach services.

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Aortic valve stenosis is the most common valvular lesion in Australia, with a rising prevalence in line with the ageing population. Recent trials have demonstrated the efficacy of transcatheter aortic valve implantation (TAVI) versus surgical aortic valve replacement in consecutively lower surgical risk patient cohorts. Despite this, the current indication for TAVI in Australia is for the treatment of severe symptomatic aortic stenosis in patients who are of prohibitive or high surgical risk and ultimately deemed suitable by a heart team.

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