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Colchicine COLCOT LoDoCo2 Evidence — EECC MCQ

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HardCoronary Artery DiseaseColchicine COLCOT LoDoCo2 EvidenceEECC

A patient with LVEF 28% has severe secondary mitral regurgitation despite maximally tolerated heart-failure treatment and CRT. Coronary disease is not revascularisable, symptoms remain NYHA III and anatomy is suitable. What is the next intervention to discuss?

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Correct answer: E — Transcatheter edge-to-edge mitral repair through the Heart Team

Severe symptomatic secondary MR is addressed first by comprehensive GDMT, revascularisation where appropriate and CRT when indicated. If substantial MR persists with suitable anatomy, TEER can improve outcomes in selected patients after Heart Team assessment. Isolated surgery, stopping GDMT, valvotomy and therapeutic nihilism are not equivalent strategies.

Reference: NICE NG208: Heart valve disease — recommendations. https://www.nice.org.uk/guidance/ng208/chapter/recommendations