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Its simplicity and lack of required equipment makes it particularly suitable for use in primary healthcare settings and for patient self-assessment at home

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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

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