Heart failure & cardiomyopathies

Prognostic value of functional tricuspid regurgitation quantified by cardiac magnetic resonance in heart failure

Eur Heart J Cardiovasc ImagingPublished Cohort study

Main finding · All-cause death or HF hospitalization, per 10% increase in TR fractionResult — go to the resultHazard ratio 1.49 95% CI 1.29–1.73

Authors' conclusion

CMR-quantified measures of TR were independently associated with adverse clinical outcomes in patients with HFrEF.

Study context

Population
Patients with heart failure with reduced ejection fraction (HFrEF) who underwent cardiac magnetic resonance (CMR) (primary tricuspid regurgitation (TR), acute HF or planned cardiac surgery excluded)62 primary outcomes
Participants
262 patients
Exposure
Higher vs lower CMR-quantified TR fraction
Outcome
Composite of:
  • All-cause death
  • Hospitalization for HF
Follow-up
Median 921 days

Main finding

As reported in the abstract

All-cause death or HF hospitalization, per 10% increase in TR fraction

Hazard ratio

1.49

95% CI 1.29–1.73

P < 0.001

10% increase in TR fraction
HR 1.49 (95% CI 1.29–1.73); P < 0.001

Per 10% increase in TR fraction, as printed

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Renal outcome (eGFR decrease ≥50% or progression to end-stage renal disease), per 10% increase in TR fractionCox regression; 48 renal outcomes1.31 (1.12–1.55)P = 0.001

Renal outcome (eGFR decrease ≥50% or progression to end-stage renal disease), per 10% increase in TR fraction

Higher TR fractions showed worse renal outcomes (Kaplan-Meier)

Original publication

Prognostic value of functional tricuspid regurgitation quantified by cardiac magnetic resonance in heart failure. Eur Heart J Cardiovasc Imaging. Published 17 November 2022. doi:10.1093/ehjci/jeac224

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