Valvular & structural heart disease

Association of right atrioventricular coupling and right atrial stiffness indices with outcomes in secondary tricuspid regurgitation patients

Eur Heart J Cardiovasc ImagingPublished Not stated

Authors' conclusion

In STR patients, RAVC and RA stiffness indices are associated with the risk of events, with RAVCVOL yielding the strongest association.

Study context

Population
Patients with mild-to-severe secondary tricuspid regurgitation (STR)75 ± 13 years, 58% severe
Participants
513 patients
Comparison
Association of right atrioventricular coupling (RAVC) indices (RAVCSTE, RAVCVOL) and right atrial (RA) stiffness index with a composite outcome of all-cause mortality or heart failure hospitalization
Outcome
Composite endpoint:
  • All-cause mortality
  • Heart failure hospitalization
Follow-up
Mean 18 ± 15 months

Main finding

As reported in the abstract

Patients reaching the composite endpoint

195 patients

38%

Further findings

Cut-off values associated with increased 2-year event rates (spline curve modelling)

RAVCSTE
< 0.82
RAVCVOL
> 1.23
RA stiffness index
> 4.6

Independent association with the outcome (multivariable Cox regression and hierarchical χ2 analyses)

Only RAVCVOL maintained a significant association with the outcome
P < 0.05

Original publication

Association of right atrioventricular coupling and right atrial stiffness indices with outcomes in secondary tricuspid regurgitation patients. Eur Heart J Cardiovasc Imaging. Published 27 February 2026. doi:10.1093/ehjci/jeag062

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