And I'm curious if you could maybe parse out what is -- what each of those is contributing to the decline in gross margins. And we anticipate continuing to offset that with SG&A improvement as we further drive margin expansion. We also issued an earnings presentation that provide additional details on our performance and outlook. And then just for Mike, just TAVR question. As a result, we expect continued and consistent double-digit growth in emerging markets. Are you seeing any slowdown? And then seeing that, we've made some trade-offs in RTG and have accelerated our spinal cord stimulation and prioritized our spinal cord stimulation pipeline. ET. Well, we are working with the data sets and the professional societies to see if we can get this into indications for use. Hi. First, one thing that won't change is our focus on the Medtronic mission, which drives us to use technology to alleviate pain, restore health and extend life. Obviously, we talked about the Evolut PRO+ and the low-risk indication. We continue to expect operating margin expansion in the full fiscal year of approximately 40 basis points on a constant-currency basis, driven by our Enterprise Excellence initiative. He implemented a strong strategy, built a robust management team and invested in an innovative pipeline. In Q1, our organic spine revenue growth was the highest in nine quarters. Yeah, sure. Josh Jennings -- Cowen and Company -- Analyst. Respiratory, GI and renal also had a strong quarter, led by double-digit growth in GI Solutions and mid-single-digit growth in respiratory and patient monitoring. There are of course several more product launches that we're preparing for across the company while we continue to invest in building out a robust, long-term pipeline of continuous innovation, invention and disruption. Yes, this is the same technology combo platter that's bothering Intellis whose performance has surprised many of us and propelled us back to leadership in SCS. Ryan Weispfenning - VP and Head of IR. So there are some core areas where we are learning, which we will apply to virtually every area that we've got procedures. I know he will take Medtronic to new levels of performance and growth. By signing up, you confirm that you accept the terms of use and privacy policy. This morning, we reported another quarter of solid results, with organic revenue growth and EPS both coming in ahead of Street expectations, reflecting our continued focus on executing to our commitments across Medtronic. You talked a little bit about some growth priorities that you have and really talked about being more aggressive on tuck-in M&A. And the reason we're doing it there is it's certainly part of our preclinical testing and experience, and it's actually, you'll get to see it in action versus just on a stage. So we think that's going to bounce around a little bit, but we were very pleased with the growth profile, clearly accelerated from where we've been in the earlier part of the year and late part of last year. So it was a little slower than the overall market, principally because of the presence now with another competitor in the space who has taken some modest share in the U.S. as well as the rate of ramp for the new centers that are coming on stream with the NCD. In fact, when you combine our spine division sales with the sales of our capital equipment from our brain therapies division that are used in spine surgery, which is how our spine competitors report results, our spine division grew a robust 6.7% organic, with our U.S. spine business growing 7.7% organic, well above the market. This includes a negative $0.09 impact of currency at recent rates. Hi. We've worked together for a long time and we know how to build off each other's strength. First, on diabetes. And one that we expect to be leaders over the long term, and not just in one procedure, because -- across all procedures, and be the company who rewrites the way surgery is done in the next decade.

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