“…Only 2 studies 38,39 systematically investigated the effects of CAB on the development of CRVD in patients with acromegaly, whereas the remaining 6 studies [40][41][42][43][44][45] reported no change in echocardiographic findings, 40 no development of new valvular abnormalities, 41 or no data. [42][43][44][45] Moreover, patient series are not homogeneous across studies, as they have included acromegalic patients receiving either CAB monotherapy 38,39,42,45 and combined to somatostatin analogs 41,43 or pegvisomant. 40,44 Nonclinically relevant valve regurgitations have been reported in 26.2% 38 and 50.4% 39 of patients, and included mild mitral regurgitation in 19.0% 38 and 9.6%, 39 whereas mild tricuspid regurgitation accounted for 7.1% 38 and 23.5% 39 of cases.…”