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[' teer ']
noncardiac sx in severe mr class 2a:
symptomatic severe primary mr or asymptomatic severe primary mr w lvesd &gt;40 mm and/or lvef 60% or
symptomatic severe secondary mr despite #gdmt consider valve intervention surgical or teer prior to intermediate or high risk ncs #esccongress 
AssistProfessor #cardiologist #SoMe #editor @CircOutcomes & @JournalASEcho #BOD @ase360 #ACCWIC @PittHealthSci #MedHumanities @ColumbiaMed @NUFeinbergMed