Valvular & structural heart diseaseCohort study

Malnutrition and Outcomes in Patients with Tricuspid Regurgitation Undergoing Transcatheter Tricuspid Valve Repair

Eur J Heart FailPublished

  • Registry-based cohort study
  • multicentre
  • multivariable-adjusted
  • inverse probability of treatment weighting

Authors' conclusion

In the large, real-world, multicentre EuroTR registry, malnutrition was present in one out of five patients with symptomatic TR undergoing T-TEER and was independently associated with increased mortality.

Study context

Population
Patients with symptomatic tricuspid regurgitation (TR) undergoing tricuspid transcatheter edge-to-edge repair (T-TEER), EuroTR registry, March 2016–February 2024
Participants
1,034 patients
Exposure
Malnutrition vs no malnutrition
  • Malnutritionn = 211
Outcome
All-cause mortality

Main finding

All-cause death · 2 years

Adjusted hazard ratio

1.53

95% CI 1.11–2.10

P = 0.009

By group

Malnutrition vs No malnutrition
adjusted HR 1.53 (95% CI 1.11–2.10); P = 0.009

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mortality with residual TR ≤2+ vs ≥3+, by malnutrition (subgroup)

Residual TR ≤2+ associated with a similar lower risk of mortality in patients with and without malnutrition
  • interaction p = 0.947

Original publication

Malnutrition and Outcomes in Patients with Tricuspid Regurgitation Undergoing Transcatheter Tricuspid Valve Repair. Eur J Heart Fail. Published 20 February 2025. doi:10.1002/ejhf.3623

Summarised from the published abstract; every number is checked against it