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Optimizing Medical Therapy Before Clip Repair for MR? 'This is Hard'


July 27, 2021
MIAMI, FL A debate at TVT 2021 last week was supposed to be about whether guideline-directed medical therapy should be tried at maximally tolerated doses before patients undergo transcatheter edge-to-edge repair (TEER) for functional mitral regurgitation (MR), but it ended up focusing on the difficulty of getting patients on foundational heart failure therapies in the first place.
JoAnn Lindenfeld, MD (Vanderbilt Heart and Vascular Institute, Nashville, TN), led off by arguing that drug therapy should be maxed out first, but her ostensible opponent didn’t disagree.
“I want to concede the debate to JoAnn. I think she made a convincing argument, and I really don’t have much to add to what she said,” Milton Packer, MD (Baylor Heart and Vascular Institute, Houston, TX), said. ....

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Of Note: 26 May 2021


Pinnacle Financial Partners captive insurance advisor Michael Corbett has been named to the Captive Review Hall of Fame.
According to a release, the honor is given to only a few captive professionals worldwide each year. Captive Review is a London-based magazine targeting the global risk management and captive insurance community.
Corbett (pictured) came to Pinnacle in early 2020 with more than 40 years of financial services experience. Previously, he was the regulatory director of captive insurance for the State of Tennessee’s Department of Commerce and Insurance, where he licensed 669 risk bearing entities made up of 200 captive insurance companies and 469 cell companies, representing over $1.4 billion in annual premiums. He also led a consulting practice that specialized in captive insurance and was chair of the Vermont Captive Insurance Association. ....

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