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Mitral Interventions in Heart Failure. | LitMetric

AI Article Synopsis

  • Patients with heart failure and secondary mitral regurgitation (SMR) experience worse health outcomes and quality of life compared to those without SMR.
  • Guideline-directed medical therapy remains the primary treatment for SMR, and recent trials on mitral transcatheter edge-to-edge repair have improved insights on which patients might benefit from these procedures with a focus on multidisciplinary care.
  • The success of these repairs has led to investigations into their use in populations like end-stage heart failure and cardiogenic shock, alongside ongoing development of new transcatheter devices to enhance treatment options for patients with symptomatic SMR.

Article Abstract

Patients with heart failure with reduced ejection fraction who have secondary mitral regurgitation (SMR) have poorer outcomes and quality of life than those without SMR. Guideline-directed medical therapy is the cornerstone of SMR treatment. Careful evaluation of landmark trials using mitral transcatheter edge-to-edge repair in SMR has led to an improved understanding of who will benefit from percutaneous interventions with emphasis on a multidisciplinary approach. The success with mitral transcatheter edge-to-edge repair in SMR has also spurred the evaluation of its role in populations that were not initially studied, such as end-stage heart failure and cardiogenic shock. A spectrum of transcatheter devices in development and clinical trials promise to further provide a growing array of management options for heart failure with reduced ejection fraction patients with symptomatic SMR.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11433966PMC
http://dx.doi.org/10.1016/j.jchf.2023.07.016DOI Listing

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