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Subannular repair for secondary mitral regurgitation: a step towards peaceful conversations

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Summary: This study evaluated the safety and efficacy of standardised subannular repair for treating ventricular secondary mitral regurgitation (Carpentier type IIIb) through a 1-year follow-up. The results showed that subannular repair successfully reduced mitral leaflet tethering, leading to improved survival, cardiac function, and a reduced rate of mitral regurgitation.
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Five-Year Follow-up after Transcatheter Repair of Secondary Mitral Regurgitation

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Summary: Data from a 5-year follow-up of outcomes after transcatheter edge-to-edge repair of severe mitral regurgitation in patients with heart failure demonstrate that this procedure, in addition to medical therapy, leads to lower rates of hospitalization for heart failure and all-cause mortality compared to medical therapy alone.

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Summary: This study evaluated the evolution and impact of mitral regurgitation (MR) in heart failure patients after guideline-recommended medical therapy (GRMT). The results showed that ACEi/ARB up-titration and a left ventricular ejection fraction (LVEF) ≥ 50% were associated with MR improvement, while the presence of moderate-severe MR after GRMT was associated with worse outcomes.

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Summary: In the 12-month landmark analysis of the MITRA-FR trial, the rate of heart failure hospitalizations between 12 and 24 months was approximately half in patients treated with TMVR on top of GDMT compared to those treated with GDMT alone, but this difference did not reach statistical significance due to a low number of events.

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