Valvular & structural heart disease

High-risk admission prior to transcatheter aortic valve replacement and subsequent outcomes

Am Heart JPublished Retrospective cohort study

Main finding · All-cause deathResult — go to the resultAdjusted hazard ratio 1.29 95% CI 1.01–1.64

Authors' conclusion

A hospitalization for heart failure, myocardial infarction, or syncope prior to TAVR was associated with a poorer prognosis

Study context

Population
All Danish patients undergoing transcatheter aortic valve replacement (TAVR), 2014–2021
Participants
5,851 patients
Exposure
Preceding high-risk event vs none
  • Preceding eventn = 759
Outcome
All-cause death
Follow-up
1 year
Methodological detailsnationwide
  • Nationwide

Main finding

As reported in the abstract

Adjusted hazard ratio

1.29

95% CI 1.01–1.64

By group

Preceding eventvs No preceding event
aHR 1.29 (95% CI 1.01–1.64)

Observational data: associations, not effects.

Further findings

OutcomePreceding eventNo preceding eventaHR (95% CI)
CV rehospitalization · 1 year15.0%8.2%1.60 (1.29–1.99)
All-cause rehospitalization · 1 year57.6%50.6%1.08 (0.87–1.20)
  • Death, preceding HF admission (subgroup): Preceding HF admission 13.5% (95% CI 10.5%–16.5%)
  • Death, preceding HF admission (subgroup): most common preceding event: HF hospitalization (n = 524)

Original publication

High-risk admission prior to transcatheter aortic valve replacement and subsequent outcomes. Am Heart J. Published 14 November 2023. doi:10.1016/j.ahj.2023.11.003

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