Valvular & structural heart disease

Clinical Impact of Early Nutritional Reversibility After Mitral Valve Transcatheter Edge-to-Edge Repair

JACC AdvPublished Retrospective cohort study

Authors' conclusion

The Δ-GNRI is a useful predictor of long-term prognosis, with reversibility observed in half of patients after M-TEER. Improvement in Δ-GNRI is associated with acute procedural success, underscoring the importance of assessing the potential for procedural success before M-TEER.

Study context

Population
Patients undergoing M-TEER for mitral regurgitation with Geriatric Nutritional Risk Index (GNRI) measured before and 1 month after, Japanese multicentre registry
Participants
1,909 patients
Exposure
Improved GNRI vs worsening GNRI 1 month after M-TEER
Outcome
Long-term all-cause mortality or composite outcome
Follow-up
Median 1.3 years
Methodological detailsmulticentre registry
  • Multicentre registry

Main finding

As reported in the abstract

GNRI improved

54.8%

Deaths during follow-up

433

Observational data: associations, not effects.

Further findings

Factors associated with Δ-GNRI improvement

Younger age, acute procedural success, lower high-sensitivity C-reactive protein, preprocedural high GNRI
all P < 0.05

Original publication

Clinical Impact of Early Nutritional Reversibility After Mitral Valve Transcatheter Edge-to-Edge Repair. JACC Adv. Published 17 September 2025. doi:10.1016/j.jacadv.2025.102142

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