Year: 2025
Type: article
Abstract: findings to decision-making.In this context, the findings of Omori et al. derived from the large-scale observational REVEAL-AFMR registry, provide valuable insights.6 In this issue of the Journal, they report a prevalence of AT (24%) among patients with moderate or greater AFMR, and AT's association with enlarged LV endsystolic dimension (LVESD) and greater left atrial diameter.Moreover, their study suggests an adverse prognostic impact of AT on clinical outcomes, including increased rates of cardiovascular death, heart failure hospitalizations, and mitral valve interventions.This study adds important new data to the clinical discussion regarding AT's role in AFMR.Current ACC/AHA and ESC/EACTS guidelines provide recommendations for the management of patients with chronic MR.Both guidelines support mitral valve surgery in symptomatic severe MR patients or asymptomatic patients with evidence of LV dysfunction.In addition, the ESC/EACTS guidelines specifically recognize AF and pulmonary hypertension as additional triggers for surgical consideration.These conditions commonly coexist in
Source: Circulation Journal
Author: Kenya Kusunose
Institution: University of the Ryukyus
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4414317422