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July 22, 2003CirculationOpen Access

Mitral Regurgitation

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Key result

Therapeutic approaches for mitral regurgitation currently lack evaluation by randomized clinical trials, relying instead on observational studies with intrinsic limitations.

Population

Patients with mitral regurgitation (MR)

Design

Editorial

Authors

Maurice Enríquez-Sarano
Maurice Enríquez-SaranoCardiac Imaging
Hartzell V. Schaff
Hartzell V. SchaffHeart Failure / Cardiomyopathy
Robert L. Frye
Robert L. FryeInterventional / Structural Cardiology

Discussion

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Implication

MR severity linked to worse outcomes in degenerative/ischemic cases; leaves open whether quantitative thresholds should guide earlier intervention in practice.

Structured PICO

P
Population
Patients with mitral regurgitation (MR)
I
Intervention
Medical and surgical treatment strategies

Highlights the critical need for randomized clinical trials to evaluate medical and surgical treatments for mitral regurgitation, as current clinical decision-making relies heavily on observational studies with intrinsic limitations.

Limitations

  • Observational studies form the basis of clinical decision-making and have intrinsic limitations, potentially yielding conflicting findings depending on the population examined.

Cite This Study

Enriquez-Sarano et al. (2003) conducted an editorial in Mitral regurgitation. Therapeutic approaches for mitral regurgitation currently lack evaluation by randomized clinical trials, relying instead on observational studies with intrinsic limitations.

synapsesocial.com/papers/6ab5bd5b2d86fd4f157c65cchttps://doi.org/10.1161/01.cir.0000083831.17708.25

Topics

Coronary artery diseaseMitral valve interventionWomen and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Randomized Trial of Partial Versus Complete Chordal Preservation Methods of Mitral Valve Replacement1999 · 12 citations
  2. 2Randomized Trial of Partial Versus Complete Chordal Preservation Methods of Mitral Valve Replacement : A Preliminary Report1999 · 47 citations
  3. 3Valve Repair Improves the Outcome of Surgery for Mitral Regurgitation1995 · 798 citations
  4. 4Superiority of mitral valve repair in surgery for degenerative mitral regurgitation1997 · 133 citations
  5. 5Very Long-Term Survival and Durability of Mitral Valve Repair for Mitral Valve Prolapse2001 · 536 citations