Heart failure & cardiomyopathies

Hospitalization of Symptomatic Patients With Heart Failure and Moderate to Severe Functional Mitral Regurgitation Treated With MitraClip: Insights From RESHAPE-HF2

J Am Coll CardiolPublished Secondary analysis of the RESHAPE-HF2 randomised trial

Study context

Population
Patients with symptomatic heart failure (HF) and moderate to severe functional mitral regurgitation333 with prior HF hospitalization
Comparison
Mitral transcatheter edge-to-edge repair (M-TEER) vs control
Primary endpoint
Hospitalization rates
Follow-up
24 months
Methodological detailsprespecified analyses
  • Prespecified analyses

Primary result

As reported in the abstract

Hospitalization outcomes
M-TEER vs ControlEstimate (95% CI)P value
Time to first CV death or HF hospitalization
HR 0.65(0.49–0.85)
P = 0.002
Recurrent CV hospitalizations (rate ratio)
RR 0.75(0.57–0.99)
P = 0.046
Recurrent CV hospitalizations and all-cause mortality
RR 0.74(0.57–0.95)
P = 0.017
Recurrent CV death and CV hospitalizations
RR 0.76(0.58–0.99)
P = 0.040
Recurrent all-cause hospitalizations
RR 0.82(0.63–1.07)
P = 0.15

Further findings

Follow-up time lost due to death or HF hospitalization

Total days lost M-TEER 1,067 · Control 1,776

  • Follow-up time lost due to death or HF hospitalization: P < 0.0001 for both

NYHA functional class · 30 days, 6, 12 and 24 months

Better NYHA class with M-TEER
P < 0.0001

Prior HF hospitalization (subgroup, n = 333) · 24 months

Prior HF hospitalization associated with worse outcomes and greater M-TEER benefit on recurrent HF hospitalizations and cardiovascular (CV) death
P for interaction = 0.03
Greater M-TEER benefit on recurrent HF hospitalizations
P for interaction = 0.06

Original publication

Hospitalization of Symptomatic Patients With Heart Failure and Moderate to Severe Functional Mitral Regurgitation Treated With MitraClip: Insights From RESHAPE-HF2. J Am Coll Cardiol. Published 31 August 2024. doi:10.1016/j.jacc.2024.08.027

Composed by AI from the published abstract and checked against it. How Briefs are made →

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