actioningaiburdenchallengeschangeclinicalcongenitaldatadegenerativedetectiondiagnosisdiseaseearlierearlyfollowglobalgranadahealthimagingjuanlongmackmanagementmichaelmitralpatientpediatricperspectiveseriessubclinicaltavrtechnologytermthouranitrialtricuspidundertreatmentvalvularvemulapallivhdvinodwomen