HMD MedDigest
Substance Over Noise
A physician-written newsletter on clinical medicine, evidence-based practice, and the science behind the headlines. No hot takes. No hedging. Just the evidence, well explained.
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CardiologyValvular Disease+1
Mitral Regurgitation: An Evidence-Based Approach
Apr 22, 2026·16 min read
Mitral Regurgitation: An Evidence-Based Approach
Primary versus secondary MR, acute versus chronic — how the etiology dictates the therapy, and when to refer for repair.
HCR
HMD Clinical ReviewCardiologyValvular Disease+1
Mitral Stenosis: An Evidence-Based Approach
Apr 22, 2026·15 min read
Mitral Stenosis: An Evidence-Based Approach
A valvular disease of the developing world and an aging-population problem in high-income settings — how to recognize and treat it.
HCR
HMD Clinical ReviewCardiologyValvular Disease+1
Tricuspid Regurgitation: An Evidence-Based Approach
Apr 22, 2026·17 min read
Tricuspid Regurgitation: An Evidence-Based Approach
Functional versus primary TR, the emerging transcatheter options, and why chronic right-sided congestion is no longer a diagnosis of exclusion.
HCR
HMD Clinical Review