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Jan 18, 2012 · Where SAM has occurred, or was not preventable, medical therapy has a proven role. We propose that medical therapy should be used to stabilize the patient and to adequately assess the degree of SAM and MR. If there is only mild SAM and MR, then medical therapy should be used.
- Michael Ibrahim, Christopher Rao, Hutan Ashrafian, Umar Chaudhry, Ara Darzi, Thanos Athanasiou
- 2012
We found that postoperative SAM that recurred (after resolving intraoperatively) always resolved with medical therapy and did not require surgical intervention. We advocate an immediate intervention strategy for patients who have significant SAM intraoperatively that does not resolve with intraoperative medical therapy.
- Robin Varghese, Anelechi C. Anyanwu, Shinobu Itagaki, Federico Milla, Javier Castillo, David H. Adam...
- 2012
rection of SAM, irrespective of the response to medical interventions. If mild SAM is present, defined as less than mild MR and a LVOT gradient of less than 50 mm Hg, we usually use no additional surgical intervention and proceed to reversal of heparin and decannulation. An echocardiogram
Aug 22, 2023 · Optimal guideline-directed medical therapy is the mainstay therapy and has been shown to reduce the severity of mitral regurgitation in 40–45% of patients. Rapid medication titration protocols reduce heart failure hospitalisation and facilitate earlier referral for device therapy.
The goal in managing SAM is to maintain the left ventricular volume. Therefore, nitroprusside and other commonly used measures to decrease systemic vascular resistance should be avoided. Because SAM may be transient or long term, subsequent treatment is based on the severity of symptoms.
Apr 3, 2018 · Symptoms arising from moderate SAM should be managed with medical treatment. Rarely, the most severe form of SAM is manifested in association with the LVOT obstruction and severe MR, which results in hemodynamic collapse with low cardiac output syndrome.
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Nov 21, 2016 · Conclusion: The results of this study suggest that the BEAR procedure may have a rate of adverse reactions low enough to warrant a study of efficacy in a larger group of patients. Keywords: anterior cruciate ligament, human, ACL reconstruction, ACL repair, bridge-enhanced ACL repair, BEAR.
