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doi: 10.1016/j.lfs.2019.116966 41 WeyandCMGoronzyJJ

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Management of Acute MR While prompt surgery is recommended in all patients with acute severe symptomatic MR, vasodilator therapies and percutaneous devices such as intra-aortic balloon pump or Impella can be used in the interim to stabilize patients in preparation for surgery ( Management of Chronic MR Primary MR Medical therapy has a limited to no role in the treatment of primary MR, however, appropriate guideline directed medical therapy is recommended in patients with hypertension or HF with reduced ejection fraction