Prognostic value of early haemodynamic valve deterioration after TAVI - PubMed
3 hours ago
- #Valve Deterioration
- #TAVI
- #Prognosis
- Early hemodynamic valve deterioration (HVD) after TAVI was observed in 3.1% of patients in a large-scale multicentre study.
- Independent predictors of early HVD include higher BMI, smaller prosthesis size (<26 mm), valve-in-valve procedures, and absence of anticoagulation at discharge.
- Early HVD is independently associated with worse long-term clinical outcomes, including reduced valve-related efficacy and higher risks of stroke, bioprosthetic valve dysfunction, and valve failure.
- The study validates the clinical relevance of detecting early HVD and emphasizes the need for further research to optimize patient management.
- Findings were consistent in propensity score-matched cohorts and sensitivity analyses, reinforcing the prognostic importance of early HVD.