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Prevalence and influence of cardiovascular kidney metabolic syndrome on outcomes after transcatheter aortic valve implantation - PubMed

5 hours ago
  • #cardiovascular-kidney-metabolic syndrome
  • #TAVI
  • #aortic stenosis
  • Cardiovascular-kidney-metabolic syndrome (CKM) is highly prevalent (90%) in patients undergoing transcatheter aortic valve implantation (TAVI).
  • Procedural success decreases with increasing CKM conditions, with the worst outcomes in patients having all three CKM conditions (ASCVD, CKD, DM).
  • Patients with 2 or 3 CKM conditions have a higher probability of death within 1 year compared to those with fewer or no CKM conditions.
  • Three CKM conditions are associated with higher rates of permanent pacemaker implantation but not major bleeding.
  • After adjusting for comorbidities, three CKM conditions remained linked to increased all-cause mortality at 1, 2, and 5 years post-TAVI.