Should a 63-year-old male with Heart Failure with Reduced Ejection Fraction (HFrEF) (Diagnosed in 2023, Ejection Fraction 15-20%, Non-Ischemic Cardiomyopathy (NICM), Left Ventricular End-Diastolic Diameter (LVEDD) 7.4cm), history of Cerebrovascular Accident (CVA) (Right Middle Cerebral Artery (R-MCA), Left Hemiplegia, 2023), Chronic Kidney Disease (CKD) (Stage 3b), Hypertension (HTN), Hyperlipidemia (HLD), Right Lower Lobe (RLL) nodule, and malnutrition, who has undergone multiple hospitalizations for Acute Decompensated Heart Failure (ADHF) and is currently on Carvedilol (Beta Blocker) 3.125 mg twice daily, Jardiance (Empagliflozin) 10 mg daily, Valsartan (Angiotensin II Receptor Blocker) 20 mg twice daily, Spironolactone (Aldosterone Antagonist) 12.5 mg daily, and Atorvastatin (HMG-CoA Reductase Inhibitor) 80 mg daily, with significant Left Ventricular (LV) dysfunction, severe Mitral Regurgitation (MR), and unable to tolerate further Guideline-Directed Medical Therapy (GDMT) due to hypotension, be considered for a MitraClip procedure?

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Last updated: April 9, 2025 • View editorial policy

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