Evidence map›Paper›PMID 32499024›Full record

ArticleJACC. Cardiovascular interventions2020

Left Ventricular Hypertrophy and Clinical Outcomes Over 5 Years After TAVR: An Analysis of the PARTNER Trials and Registries.

Holly Gonzales, Pamela S Douglas, Philippe Pibarot, Rebecca T Hahn, Omar K Khalique, Wael A Jaber, Paul Cremer, Neil J Weissman, Federico M Asch, Yiran Zhang and 8 more

Abstract read
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In one paragraph

Article in JACC. Cardiovascular interventions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.5field-weighted citation impact, top 4% of its field
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

20 citing papers in PubMed, 45 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 10 institutions in 2 countries.

Holly GonzalesStructural Heart and Valve Center, Vanderbilt University Medical Center, Nashville, Tennessee; Cardiovascular Medicine Division, Vanderbilt University Medical Center, Nashville, Tennessee.
Pamela S DouglasDuke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina.
Philippe PibarotInstitut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Québec, Canada.
Rebecca T HahnStructural Heart and Valve Center, Columbia University Irving Medical Center/NewYork Presbyterian Hospital, New York, New York.
Omar K KhaliqueStructural Heart and Valve Center, Columbia University Irving Medical Center/NewYork Presbyterian Hospital, New York, New York.
Wael A JaberDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Paul CremerDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Neil J WeissmanMedStar Health Research Institute, Georgetown University, Washington, DC.
Federico M AschMedStar Health Research Institute, Georgetown University, Washington, DC.
Yiran ZhangCardiovascular Research Foundation, New York, New York.
Zachary M GertzDepartment of Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Sammy ElmariahDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Marie-Annick ClavelInstitut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Québec, Canada.
Vinod H ThouraniDepartment of Cardiovascular Surgery, Marcus Heart and Vascular Center, Piedmont Heart Institute, Atlanta, Georgia.
Melissa DaubertDuke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina.
Maria C AluStructural Heart and Valve Center, Columbia University Irving Medical Center/NewYork Presbyterian Hospital, New York, New York; Cardiovascular Research Foundation, New York, New York.
Martin B LeonStructural Heart and Valve Center, Columbia University Irving Medical Center/NewYork Presbyterian Hospital, New York, New York; Cardiovascular Research Foundation, New York, New York.
Brian R LindmanStructural Heart and Valve Center, Vanderbilt University Medical Center, Nashville, Tennessee; Cardiovascular Medicine Division, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: brian.r.lindman@vumc.org.
NewYork–Presbyterian Hospital · USCleveland Clinic · USClinical Research Institute · USGeorgetown University · USInstitut universitaire de cardiologie et de pneumologie de Québec · CAVanderbilt University Medical Center · USCardiovascular Research Foundation · USMassachusetts General Hospital · USPiedmont Atlanta Hospital · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study sought to evaluate the association between severity of left ventricular hypertrophy (LVH) before transcatheter aortic valve replacement (TAVR) and outcomes out to 5 years.

backgroundPrior studies assessing the association between baseline LVH and outcomes after surgical or TAVR for aortic stenosis (AS) have yielded conflicting results.

methodsPatients with severe symptomatic AS at intermediate or high risk in the PARTNER (Placement of Aortic Transcatheter Valve) 1, 2, and S3 trials and registries who received TAVR and had baseline measurements for left ventricular mass index (LVMi) were analyzed. The presence and severity of LVH was determined by LVMi using American Society of Echocardiography sex-specific cutoffs.

resultsAmong 4,280 patients, those with no (n = 1,325), mild (n = 777), moderate (n = 628), and severe (n = 1,550) LVH had 5-year rates of death of 32.8%, 37.3%, 37.2%, and 44.8%, respectively (p < 0.001), and 5-year rates of cardiovascular (CV) death or rehospitalization of 33.6%, 39.2%, 42.4%, and 49.2%, respectively (p < 0.001). After adjustment, severe LVH (compared with no LVH) was associated with increased all-cause death (adjusted hazard ratio: 1.16; 95% confidence interval: 1.00 to 1.34; p = 0.04) and CV death or rehospitalization (adjusted hazard ratio: 1.34; 95% confidence interval: 1.16 to 1.54; p < 0.001), but no increased hazard was observed for mild or moderate LVH. In spline analyses performed in males and females separately, there was a consistent linear association between increased LVMi and an increased adjusted hazard of CV mortality or rehospitalization. A similar relationship was observed for all-cause death in females, but not males.

conclusionsSevere baseline LVH is associated with higher 5-year death and rehospitalization rates after TAVR. These findings may have implications for the optimal timing of valve replacement and the potential role for medical therapy to slow or prevent LVH as AS progresses before valve replacement, but further studies are needed.

Indexed as

Transcatheter Aortic Valve ReplacementVentricular Function, LeftVentricular RemodelingAgedAged, 80 and overAortic ValveAortic Valve StenosisClinical Trials as TopicFemaleHumansHypertrophy, Left VentricularMalePatient ReadmissionPostoperative ComplicationsRecovery of FunctionRegistriesaortic stenosishospitalizationleft ventricular hypertrophymortalitytranscatheter aortic valve replacement

Identifiers

PMID32499024
OpenAlexW3029256667

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.