Evidence map›Paper›PMID 38660100›Full record

ArticleJACC. Asia2024

Pre-Existing Left Bundle Branch Block and Clinical Outcomes After Transcatheter Aortic Valve Replacement.

Tetsuya Saito, Taku Inohara, Hikaru Tsuruta, Fumiaki Yashima, Hideyuki Shimizu, Keiichi Fukuda, Yohei Ohno, Hidetaka Nishina, Masaki Izumo, Masahiko Asami and 13 more

Open access · goldAbstract read
In one paragraph

Article in JACC. Asia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

23 authors at 16 institutions in 1 country.

Tetsuya SaitoDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Taku InoharaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Hikaru TsurutaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Fumiaki YashimaDepartment of Cardiology, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
Hideyuki ShimizuDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Keiichi FukudaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Yohei OhnoDepartment of Cardiology, Tokai University School of Medicine, Isehara, Japan.
Hidetaka NishinaDepartment of Cardiology, Tsukuba Medical Center Hospital, Tsukuba, Japan.
Masaki IzumoDepartment of Cardiology, St. Marianna University, Tokyo, Japan.
Masahiko AsamiDivision of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Toru NaganumaDepartment of Cardiology, New Tokyo Hospital, Matsudo, Japan.
Kazuki MizutaniDepartment of Cardiology, Kinki University, Osaka, Japan.
Masahiro YamawakiDepartment of Cardiology, Saiseikai Yokohama-City Eastern Hospital, Tsurumi, Japan.
Norio TadaDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Futoshi YamanakaDepartment of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan.
Shinichi ShiraiDepartment of Cardiology, Kokura Memorial Hospital, Kokura, Japan.
Masahiko NoguchiDepartment of Cardiology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan.
Hiroshi UenoDepartment of Cardiology, Toyama University Hospital, Toyama, Japan.
Kensuke TakagiDepartment of Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Yusuke WatanabeDepartment of Cardiology, Teikyo University School of Medicine, Tokyo, Japan.
Masanori YamamotoDepartment of Cardiology, Toyohashi Heart Center, Toyohashi, Japan.
Kentaro HayashidaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
OCEAN-TAVI Investigators
Keio University · JPKindai University · JPKokura Memorial Hospital · JPMitsui Memorial Hospital · JPNational Cerebral and Cardiovascular Center · JPNew Tokyo Hospital · JPSaiseikai Utsunomiya hospital · JPSaiseikai Yokohama Eastern Hospital · JPSendai Kousei Hospital · JPShonan Kamakura General Hospital · JPSt. Marianna University School of Medicine · JPTeikyo University · JPTokai University · JPToyama University Hospital · JPToyohashi Heart Center · JPTsukuba Medical Center Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Few reports on pre-existing left bundle branch block (LBBB) in patients undergoing transcatheter aortic valve replacement (TAVR) are currently available. Further, no present studies compare patients with new onset LBBB with those with pre-existing LBBB. Objectives: This study aimed to investigate the association between pre-existing or new onset LBBB and clinical outcomes after TAVR. Methods: Using data from the Japanese multicenter registry, 5,996 patients who underwent TAVR between October 2013 and December 2019 were included. Patients were classified into 3 groups: no LBBB, pre-existing LBBB, and new onset LBBB. The 2-year clinical outcomes were compared between 3 groups using Cox proportional hazards models and propensity score analysis to adjust the differences in baseline characteristics. Results: Of 5,996 patients who underwent TAVR, 280 (4.6%) had pre-existing LBBB, while 1,658 (27.6%) experienced new onset LBBB. Compared with the no LBBB group, multivariable Cox regression analysis showed that pre-existing LBBB was associated not only with a higher 2-year all-cause (adjusted HR: 1.39; 95% CI: 1.06-1.82; Conclusions: Pre-existing LBBB was independently associated with poor clinical outcomes, reflecting an increased risk of cardiovascular mortality after TAVR. Patients with pre-existing LBBB should be carefully monitored.

Indexed as

left bundle branch blockpropensity scoretranscatheter aortic valve replacement

Identifiers

PMID38660100
PMCPMC11035950
OpenAlexW4390756146

What OpenQuestion holds

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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.