Situation: A patient came with severe secondary MR with refractory end–stage heart failure.
Dr. Bad: Go for mitral valve repair.
Dr. Good: Try biventricular pacing.
Lesson: As per 2005 ACC/AHA heart failure guidelines, effectiveness of mitral valve repair or replacement for severe secondary mitral regurgitation in refractory end–stage HF is not established (Circulation 2009;119:e391).
Dr. Bad: Go for mitral valve repair.
Dr. Good: Try biventricular pacing.
Lesson: As per 2005 ACC/AHA heart failure guidelines, effectiveness of mitral valve repair or replacement for severe secondary mitral regurgitation in refractory end–stage HF is not established (Circulation 2009;119:e391).
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