Dia: 14 de julho de 2017

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http://www.onlinejacc.org/content/70/2/252?_ga=2.216305238.1506705749.1500033675-1630793714.1499687587

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Um artigo usado na diretriz que chama a atenção.

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http://www.sciencedirect.com/science/article/pii/S0022522314010009?via%3Dihub

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A responsabilidade de indicar uma troca Mitral agora recai sobre o ecocardiografista.

Um exame confiável, bem realizado, indica cirurgia em paciente assintomático.]

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• After a randomized trial showed no clinical benefit of mitral valve repair among patients with chronic, moderate ischemic MR undergoing coronary artery bypass grafting, the LOE was changed from C (consensus) to B-R (moderate quality evidence from ≥1 randomized controlled trial [RCT] or meta-analyses of moderate-quality RCT) for the Class IIb recommendation for mitral valve repair in this population.

.http://www.acc.org/latest-in-cardiology/ten-points-to-remember/2017/03/14/18/26/2017-aha-acc-focused-update-of-valvular-heart-disease

É emocionante ouvir um cirurgião cardíaco descrever o reparo da valva Mitral .

Parece mágico.

Mas não é.

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