1. Moderate mitral regurgitation in patients undergoing CABG--the MoMIC trial.
- Author
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Wierup P, Egeblad H, Nielsen SL, Scherstén H, Kimblad PO, Bech-Hansen O, Roijer A, Nilsson F, McCarthy PM, Bouchard D, Jacobsen J, Johnsen SP, Poulsen SH, and Mølgaard H
- Subjects
- Blood Vessel Prosthesis Implantation, Coronary Artery Disease complications, Coronary Artery Disease mortality, Heart Failure etiology, Heart Failure mortality, Hospitalization, Humans, Mitral Valve Insufficiency etiology, Mitral Valve Insufficiency mortality, Myocardial Ischemia etiology, Myocardial Ischemia mortality, North America, Research Design, Scandinavian and Nordic Countries, Severity of Illness Index, Time Factors, Treatment Outcome, Coronary Artery Bypass, Coronary Artery Disease surgery, Mitral Valve Insufficiency surgery, Myocardial Ischemia surgery
- Abstract
Background: The presence of mild to moderate ischemic mitral regurgitation (IMR) marks a significantly reduced long-term survival and increased hospitalizations due to heart-failure. However, it is common practice in many institutions to refrain from repairing the mitral valve in these patients. There are no available conclusive data to support this practice, and thus there is a need for an adequately powered randomized trial., Study Design: The Moderate Mitral Regurgitation In Patients Undergoing CABG (MoMIC) trial is the first international multi-center, large-scale study to clarify whether moderate IMR in CABG patients should be corrected. A total of 550 CABG patients with moderate IMR are to be randomized to treatment of either CABG alone or CABG plus mitral valve correction. The primary end point is a composite end point of mortality and rehospitalization for heart failure at five years. The inclusion and randomization of patients started in February 2008., Implication: If correction of moderate IMR in CABG patients proves to be the superior strategy, most patients should be treated accordingly.
- Published
- 2009
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