@ovidiogarciav@JACCJournals@philippvstein To my knowledge there are no randomized comparisons of #TEER or surgery vs. medical therapy in aSMR. So it's value is not as defined as in vSMR.
@ovidiogarciav@JACCJournals@philippvstein The paper focuses on the differences of the 2 subtypes, we are not postulating pathophysiological similarities, if you appreciate the full paper. This are the results of a real-world registry. It informs us about clinical practice, everything beyond is speculation.
@ovidiogarciav@JACCJournals@philippvstein Thanks for your feedback! I agree with you, the long term prognosis of each of the two fundamentally distinct SMR phenotypes remains to be elucidated. However, don't forget, HFrEF and HFpEF have similar prognosis so the results are not so surprising.
M-TEER effectively 📉 MR to ≤1+ & 📈 symptoms in both aSMR & vSMR. Particularly in aSMR, ≥moderate baseline TR is linked to worse outcomes, warranting consideration as add'l Tx 🎯 https://t.co/GmGhqe75p1
#JACCINT#TEER#vhdMR#vhdTR#NYValves2025@VictorMauriMD@philippvstein
Do the hemodynamic advantages of SEV vs BEV as seen in #SMART translate into superior clinical outcomes in patients with small aortic annulus?
A new analysis by @HenningGuthoff out of the #IMPPACT TAVR registry just published in @JACCJournals#JACCInt
https://t.co/hgxMBYLpUx
Do the hemodynamic advantages of SEV vs BEV as seen in #SMART translate into superior clinical outcomes in patients with small aortic annulus?
A new analysis by @HenningGuthoff out of the #IMPPACT TAVR registry just published in @JACCJournals#JACCInt
https://t.co/hgxMBYLpUx
Our take: mortality after TAVR appears to be driven primarily by baseline comorbidities. Valve selection should consider patient-specific valvular anatomy, conduction disturbances, procedural feasibility, and lifetime management considerations rather than hemodynamics alone.
Thank you so much @AbdullahAlabcha for the opportunity to share my key takes on measured vs. predicted Prosthesis-Patient-Mismatch #PPM after #TAVR from the #IMPPACT_TAVI registry
https://t.co/M62DnN2ACq
Out now in @JACCJournals#JACCInt
A tale of measured and predicted prosthesis-patient-mismatch #PPM after #TAVR - an analysis of the #IMPPACT TAVI registry by @HenningGuthoff just published in @JACCJournals#JACCInt, accompanied by an editorial of the godfather of PPM @PPibarot
https://t.co/M62DnN2ACq
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