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Decision to intervene in asymptomatic mitral regurgitation: ‘more art than science’
  1. Piotr Szymański,
  2. Tomasz Hryniewiecki
  1. Valvular Heart Disease Department, Institute of Cardiology, Warsaw, Poland
  1. Correspondence to Dr Piotr Szymański, Echocardiographic Laboratory, Valvular Heart Disease Department, Institute of Cardiology, Alpejska 42, Warsaw 04-628, Poland; p.szymanski{at}

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To the Editor, In a recently published Editorial to the new 2014 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease, its authors note that ‘since in asymptomatic patients decisions on timing of intervention is made primarily on the basis of left ventricular size and function and quantitative evaluation of mitral regurgitation severity, accurate measurements of the left ventricular function, as well as the degree of MR, are essential.’1 This is now even more important than before because the guidelines consider surgery …

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  • Contributors PS drafted the manuscript. Both authors contributed to the conception of the work. Both authors revised it critically for important intellectual content and finally approval of the version to be published. Both authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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