In this prospective cohort of 447 patients with asymptomatic severe mitral regurgitation (MR) and normal ejection fraction, they underwent either surgical repair or watchful waiting. During 7 years of follow up, there were more cardiac deaths in the watchful waiting group (12 versus 0), as was propensity-adjusted actuarial event-free survival (85% versus 99%). This indicates surgical referrals for severe MR should be made sooner than later (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.