With the first woman President, Dr Victoria Delgado, a new mandate in the #EACVI journey is just starting. I feel honored to have the opportunity to work, learn and get inspired by the fantastic personalities of @VDelgadoGarcia and EACVI Past President @s_e_petersen in the next two years. Victoria is a great leader, superb mentor, cardiologist and researcher. Victoria’s journey has been marked by relentless hard work and passion for #cvimaging, commitment to excellence and to uplift others. She has incredible metrics for her age (h index >100, citations > 110 k), reflecting worldwide academic impact and exceptional productivity. I am convinced that the #EACVI is in excellent hands under her leadership @EACVIPresident

New multicenter registry data in #JACCImaging including > 3700 patients with isolated moderate-to-severe degenerative MR (DMR) on the prognostic impact of pulmonary hypertension (PHTN) measured by Doppler echocardiography. jacc.org/doi/epdf/10.1016/j.… Key messages: - SPAP response to the significant DMR is heterogeneous: 25% had classic severe PHTN (SPAP ≥ 50 mm Hg), and 30% had moderate PHTN (ie, 35-49 mm Hg). - excess mortality emerges for SPAP levels much below classical thresholds, with moderate PHTN (35-49 mm Hg) independently associated with excess mortality under medical management, which is eliminated after surgical correction of DMR. - severe PHTN (SPAP ≥ 50 mm Hg) is associated with more severe excess mortality, which is attenuated but not suppressed after surgical correction of DMR. - SPAP by Doppler is not just a surrogate for DMR severity, but is incremental to the Doppler EROA, RVol, and clinical characteristics in predicting outcome -> it is pivotal to obtain SPAP during #echofirst throughout the spectrum of DMR severity. In conclusion, consider moderate PHTN (35-49 mm Hg) in the decision-making for early surgical repair in patients with severe DMR to restore their life expectancy.