Valvular & structural heart disease

Human Epididymis Protein 4 is a Useful Predictor of Post-Operative Prognosis in Patients with Severe Aortic Stenosis

ESC Heart FailPublished Prospective cohort study

Main finding · CV death or hospitalization for HFResult — go to the resultHazard ratio 7.50 95% CI 1.81–31.1

Authors' conclusion

We found that HE4 is a potentially useful biomarker for predicting future CV events in patients scheduled for AS surgery.

Study context

Population
Patients with severe aortic stenosis (AS) before SAVR or TAVI, Kumamoto University Hospital, 2018
Participants
55 patients
Exposure
High HE4 vs low HE4
Outcome
CV death or hospitalization for HF
Follow-up
3 years
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Hazard ratio

7.50

95% CI 1.81–31.1

P = 0.005

Log(HE4)
HR 7.50 (95% CI 1.81–31.1); P = 0.005

Observational data: associations, not effects.

Further findings

Correlation of serum HE4 with CT-ECV

Positive correlation, r
0.53
P
P = 0.004

ROC analysis of HE4 for cardiovascular (CV) death or heart failure (HF) hospitalization at 3 years · 3 years after surgery

AUC
0.76 (95% CI 0.62-0.90; P = 0.003)

Original publication

Human Epididymis Protein 4 is a Useful Predictor of Post-Operative Prognosis in Patients with Severe Aortic Stenosis. ESC Heart Fail. Published 27 May 2024. doi:10.1002/ehf2.14845

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