Published: 26 September 2018
Author(s): Rajkumar Doshi, Krunalkumar Patel, Rupak Desai, Keyur Patel, Rajeev Gupta
Section: Letter to the Editor

Transcatheter mitral valve repair (TMVr) has been approved, in the United States, for the treatment of degenerative mitral valve regurgitation (MR) in certain high surgical risk or inoperable patients. In a recent study by Jabs et al., the in-hospital outcomes (at 12 months) of pre-existing atrial fibrillation (Afib) did not differ considerably from those with sinus rhythm in regard to either major adverse cardiac and cerebrovascular event (MACCE) rates or clinical improvements [1]. However, it should be noted that Afib is a frequently encountered adverse outcome in the TMVr procedure [1] and is, in general, a marker for advanced heart failure [2].

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The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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