Heart failure & cardiomyopathies

Association of Tricuspid Regurgitation With Mortality in Heart Failure With Left-Sided Heart Disease

JACC AdvPublished Registry analysis

Authors' conclusion

TR severity stratified mortality after acute decompensated HF better in patients without LVD than in those with LVD.

Study context

Population
Patients hospitalized for Heart Failure (HF) in the West Tokyo Heart Failure registry, January 2006 to December 2021
Participants
3,040 vs 2,438
Exposure
Moderate and severe tricuspid regurgitation (TR) vs no TR, in patients with and without LVD
  • LVDn = 3,040
  • No LVDn = 2,438
Outcome
Prevalence of moderate and severe TR
Methodological detailsmulticenter, multivariable Cox hazard model
  • Multicenter
  • Multivariable Cox hazard model

Main finding

As reported in the abstract

Moderate TR

Severe TR

Observational data: associations, not effects.

Further findings

Mortality

Adjusted HR (95% CI)
Moderate TRIn those with LVD1.25 (1.03–1.52)
Severe TRIn those with LVD1.72 (1.30–2.29)
Moderate TRIn those without LVD2.15 (1.62–2.84)
Severe TRIn those without LVD3.09 (1.87–5.09)
  • Mortality: Significant interactions between the subtypes were observed (P = 0.005)

Original publication

Association of Tricuspid Regurgitation With Mortality in Heart Failure With Left-Sided Heart Disease. JACC Adv. Published 26 May 2025. doi:10.1016/j.jacadv.2025.101832

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