Treat, Reassess, Repair
Jonathan W Cramer · 2026
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Description
Jonathan Cramer wrote this 2026 commentary, titled Treat, Reassess, Repair, on a hard choice in heart care. Some patients are born with a hole between the heart's upper chambers and also develop severe high pressure in the lung vessels. For years, that pressure was seen as a bar to closing the hole, since the hole acts as a safety valve for the strained right side of the heart.
Cramer argues that fitness for closure should be treated as a state that can change, not a fixed verdict. Modern lung vessel drugs can lower the pressure a great deal in picked patients. Recent European guidelines allow closure after such drug treatment when the pressure falls into a set range. The piece, keyed to a case report, backs a path of treating first, checking again, and only then repairing the hole.
Catalog record
| CREATOR | Jonathan W Cramer |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 6 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |