Evidence map›Paper›PMID 30866687›Full record

ArticleJournal of the American Heart Association2019

Prognostic Impact of Pre-Transcatheter and Post-Transcatheter Aortic Valve Intervention Troponin: A Large Cohort Study.

Mariama Akodad, Marco Spaziano, Bernard Chevalier, Philippe Garot, Hakim Benamer, Annabelle Dinan-Zannier, Xavier Troussier, Thierry Unterseeh, Stéphane Champagne, Thomas Hovasse and 1 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Time- and dose-dependent high-sensitivity cardiac troponin-T to improve outcome prediction after TAVI: a multicenter cohort study.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  4. Article
  5. Observational
  6. Postprocedural myocardial injury and outcomes following transcatheter aortic valve implantation.International journal of cardiology. Heart & vasculature · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Severe Symptomatic Aortic Stenosis? Check Troponin, Too.Journal of the American Heart Association · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Mariama Akodad1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Marco Spaziano1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Bernard Chevalier1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Philippe Garot1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Hakim Benamer1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Annabelle Dinan-Zannier2 Intensive Care Unit Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Xavier Troussier2 Intensive Care Unit Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Thierry Unterseeh1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Stéphane Champagne1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Thomas Hovasse1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.
Thierry Lefèvre1 Interventional Cardiology Department Ramsay Générale de Santé Institut Cardiovasculaire Paris Sud Massy France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Biomarkers were advocated as prognostic factors in patients undergoing transcatheter aortic valve intervention, with contradictory results concerning prognostic impact of troponin. Our aim was to assess the prognostic impact of preprocedural and postprocedural troponin in transcatheter aortic valve intervention. Methods and Results Preprocedural and postprocedural high-sensitivity troponin levels were measured in all patients undergoing transcatheter aortic valve intervention. Primary end point was 1-year mortality. This study included 1390 patients, with a mean age of 83.4±6.8 years. Patients were divided into 3 tertiles according to preprocedural troponin values: tertile 1: 0.001 to 0.023 μg/L; tertile 2: 0.024 to 1.80 μg/L; and T3: 1.81 to 12.1 μg/L. One-year mortality was higher in patients in tertile 2 (hazard ratio, 2.1; P=0.001) and T3 (hazard ratio, 1.8; P=0.009) compared with those in tertile 1. Myocardial injury was predictive of 1-year mortality (hazard ratio, 1.7; P=0.01). This effect may be stronger in the tertile 1 subgroup (hazard ratio, 5.1; P=0.03 [ P value for interaction: 0.18]). Conclusions Elevated preprocedural troponin and myocardial injury are associated with 1-year mortality after transcatheter aortic valve intervention.

Indexed as

Transcatheter Aortic Valve ReplacementAged, 80 and overAortic ValveAortic Valve StenosisBiomarkersFemaleFollow-Up StudiesFranceHumansIncidenceMaleMyocardial IschemiaPostoperative PeriodPreoperative PeriodPrognosisRetrospective StudiesBiomarkersTroponinaortic stenosistranscatheter aortic valve implantationtroponin

Identifiers

PMID30866687
PMCPMC6475053

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Registered trials

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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.