Valvular & structural heart disease

Predictors of Left Atrial Compliance and V-Wave Response in Patients Undergoing Transcatheter Mitral Valve Therapy

JACC Cardiovasc IntervPublished Retrospective cohort study

Authors' conclusion

Low LA strain and prior AF intervention or LAA ligation may predict low invasive LA compliance and limited V-wave reduction after TMVT.

Study context

Population
Patients undergoing transcatheter edge-to-edge repair or valve-in-valve TMVR at the Cleveland Clinic, 2019–2023
Participants
255 patients
Exposure
Compliant vs noncompliant left atrial (LA) in patients undergoing transcatheter mitral valve therapy (TMVT)
  • Compliant LAn = 107reference
  • Noncompliant LAn = 148
Outcome
Noninvasive predictors of invasive LA compliance and V-wave response
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Predictors of low invasive LA compliance (multivariable analysis)
Odds ratio (95% CI)P value
Low LA reservoir strain
0.89(0.83–0.95)
P = 0.001
Prior AF intervention or LAA ligation
4.27(1.43–12.72)
P = 0.009

Observational data: associations, not effects.

Further findings

Composite of HF hospitalization and mortality · 1 year

Low LA compliance significantly associated with increased composite outcome

Original publication

Predictors of Left Atrial Compliance and V-Wave Response in Patients Undergoing Transcatheter Mitral Valve Therapy. JACC Cardiovasc Interv. Published 29 January 2026. doi:10.1016/j.jcin.2025.11.038

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

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