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Comment & Response
November 20, 2013

Surgery vs Watchful Waiting for Mitral Regurgitation

Author Affiliations
  • 1Cedars-Sinai Heart Institute, Los Angeles, California
JAMA. 2013;310(19):2098-2099. doi:10.1001/jama.2013.282155

To the Editor Dr Suri and colleagues1 reported data on 1021 patients with flail mitral valve regurgitation and no or mild symptoms and compared outcomes of surgery within 3 months vs a watchful waiting strategy. They concluded that early surgery was associated with greater long-term survival and a lower risk of heart failure than initial medical management. We wish to point out several limitations to the study.