Evidence map›Paper›PMID 28698259›Full record

Observational studyJournal of the American Heart Association2017

Reversibility of Cardiac Function Predicts Outcome After Transcatheter Aortic Valve Replacement in Patients With Severe Aortic Stenosis.

Kimi Sato, Arnav Kumar, Brandon M Jones, Stephanie L Mick, Amar Krishnaswamy, Richard A Grimm, Milind Y Desai, Brian P Griffin, L Leonardo Rodriguez, Samir R Kapadia and 2 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05069168 (Predictors of Left Ventricular Systolic Function Recovery After Transcatheter Aortic Valve), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05069168 completednot on this mapstarted 2023, after this paper: background citation

Predictors of Left Ventricular Systolic Function Recovery After Transcatheter Aortic Valve

TypeobservationalSponsorAssiut UniversityRan2023 to 2024Enrolled75ConditionsLeft Ventricular Systolic FunctionArmsEchocardiography before and after TAVR
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Cardiac structural changes after transcatheter aortic valve replacement: systematic review and meta-analysis of cardiovascular magnetic resonance studies.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Pooled it
  3. Functional and structural reverse myocardial remodeling following transcatheter aortic valve replacement: a prospective cardiovascular magnetic resonance study.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Trial
  4. Paravalvular regurgitation after transcatheter aortic valve replacement in intermediate-risk patients: a pooled PARTNER 2 study.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Trial
  5. Review
  6. Article
  7. Article
  8. Time-robust myocardial [European journal of nuclear medicine and molecular imaging · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Long-term prognostic value of the HESC heart failure · 2024
    Article
  16. Article
  17. Article
  18. Impact of mitral regurgitation aetiology on the outcomes of transcatheter aortic valve implantation.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2023
    Article
  19. Article
  20. Aortic Stenosis Phenotypes and Precision Transcatheter Aortic Valve Implantation.Journal of cardiovascular development and disease · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kimi SatoHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Arnav KumarHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Brandon M JonesHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Stephanie L MickHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Amar KrishnaswamyHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Richard A GrimmHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Milind Y DesaiHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Brian P GriffinHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
L Leonardo RodriguezHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Samir R KapadiaHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Nancy A ObuchowskiDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.
Zoran B PopovićHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH popoviz@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReversibility of left ventricular (LV) dysfunction in high-risk aortic stenosis patient and its impact on survival after transcatheter aortic valve replacement (TAVR) are unclear. We aimed to evaluate longitudinal changes of LV structure and function after TAVR and their impact on survival. METHODS AND

resultsWe studied 209 patients with aortic stenosis who underwent TAVR from May 2006 to December 2012. Echocardiograms were used to calculate LV end-diastolic volume index (LVEDVi), LV ejection fraction, LV mass index (LVMi), and global longitudinal strain before, immediately (<10 days), late (1-3 months), and yearly after TAVR. During a median follow-up of 1345 days, 118 patients died, with 26 dying within 1 year. Global longitudinal strain, LVEDVi, LV ejection fraction, and LVMi improved during follow-up. In patients who died during the first year, death was preceded by LVEDVi and LVMi increase. Multivariable longitudinal data analysis showed that aortic regurgitation at baseline, aortic regurgitation at 30 days, and initial LVEDVi were independent predictors of subsequent LVEDVi. In a joint analysis of longitudinal and survival data, baseline Society of Thoracic Surgeons score was predictive of survival, with no additive effect of longitudinal changes in LVEDVi, LVMi, global longitudinal strain, or LV ejection fraction. Presence of aortic regurgitation at 1 month after TAVR was the only predictor of 1-year survival.

conclusionsLV reverse remodeling was observed after TAVR, whereas lack of LVEDVi and LVMi improvement was observed in patients who died during the first year after TAVR. Post-TAVR, aortic regurgitation blocks reverse remodeling and is associated with poor 1-year survival after TAVR.

Indexed as

Myocardial ContractionStroke VolumeTranscatheter Aortic Valve ReplacementVentricular Function, LeftVentricular RemodelingAgedAged, 80 and overAortic ValveAortic Valve InsufficiencyAortic Valve StenosisEchocardiographyFemaleHumansMaleRecovery of FunctionRetrospective Studiesaortic valve stenosisechocardiographylongitudinal strainremodelingtranscatheter aortic valve implantation

Identifiers

PMID28698259
PMCPMC5586298

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.