Valvular & structural heart disease

The Impact of Gender and Frailty on the Outcome of Older Patients with Functional Mitral Regurgitation

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

Despite better left ventricular systolic function, mortality in medically treated older female patients suffering from functional mitral regurgitation is not lower than in males. In this real-world cohort, frailty was a stronger predictor of clinical outcome than gender.

Study context

Population
Older patients (≥65 years) with medically treated moderate to severe functional mitral regurgitation (MR), 2014 to 2020
Participants
243 patients
Exposure
Female vs male patients
Outcome
Combined HF hospitalization and all-cause death
Follow-up
1 year
Methodological detailssingle-centre, observational
  • Single-centre
  • Observational

Main finding

As reported in the abstract

P = 0.61

Being female not associated with primary endpoint, univariate Cox HR
0.87; P = 0.54 (95% CI 0.55 to 1.37)

Observational data: associations, not effects.

Further findings

All-cause mortality · 1 year

P = 0.69

OutcomeMalesFemalesP value
Baseline EF39% (SD 16)48% (SD 14)P < 0.001

Original publication

The Impact of Gender and Frailty on the Outcome of Older Patients with Functional Mitral Regurgitation. ESC Heart Fail. Published 24 July 2023. doi:10.1002/ehf2.14478

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

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