Valvular & structural heart disease
Prognostic value of right ventricular remodelling in patients undergoing concomitant aortic and mitral valve surgery
Authors' conclusion
Right ventricular remodelling was strongly related to adverse outcomes and deserves consideration as part of the risk and decision-making algorithms in double-valve surgery.
Study context
- Population
- Patients undergoing concomitant aortic and mitral (double) valve surgery
- Participants
- 152 patients
- Exposure
- Right ventricular (RV) remodelling patterns
- Outcome
- Composite of:
- HF hospitalization
- All-cause mortality
- Follow-up
- 3.7-year median
Main finding
As reported in the abstract
Adverse event rates (HF hospitalization or all-cause mortality)
P < 0.01
- Incremental prognostic value of Patterns 3 and 4 over clinical parameters and EuroSCORE II (χ2 increased from 30 to 66)
- P < 0.01
Observational data: associations, not effects.
Further findings
Prevalence of RV remodelling patterns 1, 2, 3, 4
Prevalence of RV remodelling patterns 1, 2, 3, 4
- Stage 4 RV remodelling: worse renal function, higher EuroSCORE II, impaired LVEF
Adverse events by RV pattern at 1 year after surgery
- Patterns 3 and 4 had a higher risk of adverse events vs Pattern 1
- n = 100
Original publication
Prognostic value of right ventricular remodelling in patients undergoing concomitant aortic and mitral valve surgery. Eur Heart J Cardiovasc Imaging. Published 22 August 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →