Evidence map›Paper›PMID 39195174›Full record

ArticleDiseases (Basel, Switzerland)2024

Treating Aortic Valve Stenosis for Vitality Improvement: The TAVI Study.

Donato Tartaglione, Dario Prozzo, Renatomaria Bianchi, Giovanni Ciccarelli, Maurizio Cappelli Bigazzi, Francesco Natale, Paolo Golino, Giovanni Cimmino

Abstract read
In one paragraph

Article in Diseases (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Donato TartaglioneVanvitelli Cardiology and Intensive Care Unit, Monaldi Hospital, 80131 Naples, Italy.
Dario ProzzoCardiology Unit, Cardarelli Hospital, 80131 Naples, Italy.
Renatomaria BianchiVanvitelli Cardiology and Intensive Care Unit, Monaldi Hospital, 80131 Naples, Italy.
Giovanni CiccarelliVanvitelli Cardiology and Intensive Care Unit, Monaldi Hospital, 80131 Naples, Italy.
Maurizio Cappelli BigazziVanvitelli Cardiology and Intensive Care Unit, Monaldi Hospital, 80131 Naples, Italy.
Francesco NataleVanvitelli Cardiology and Intensive Care Unit, Monaldi Hospital, 80131 Naples, Italy.
Paolo GolinoVanvitelli Cardiology and Intensive Care Unit, Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-3590-6983
Giovanni CimminoDepartment of Translational Medical Sciences, Section of Cardiology, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.ORCID 0000-0002-3802-7052

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDegenerative aortic valve stenosis (AS) is the most common valvular heart disease among the elderly. Once cardiac symptoms occur, current guidelines recommend aortic valve replacement. Progressive degeneration/calcification reduces leaflet mobility with gradual cardiac output (CO) impairment. Low CO might induce abnormal brain-aging with cognitive impairment and increased risk of dementia, such as Alzheimer's disease or vascular dementia. On the contrary, cognitive improvement has been reported in patients in whom CO was restored. Transcatheter aortic valve implantation (TAVI) has proven to be a safe alternative to conventional surgery, with a similar mid-term survival and stroke risk even in low-risk patients. TAVI is associated with an immediate CO improvement, also effecting the cerebrovascular system, leading to an increased cerebral blood flow. The correlation between TAVI and cognitive improvement is still debated. The present study aims at evaluating this relationship in a cohort of AS patients where cognitive assessment before and after TAVI was available.

methodsa total of 47 patients were retrospectively selected. A transcranial Doppler ultrasound (TCD) before and after TAVI, a quality of life (QoL) score, as well as a mini-mental state examination (MMSE) at baseline and up to 36 months, were available.

resultsTAVI was associated with immediate increase in mean cerebral flow at TCD. MMSE slowly increase at 36-months follow-up with improved QoL mainly for symptoms, emotions and social interactions.

conclusionsthis proof-of-concept study indicates that TAVI might induce cognitive improvement in the long-term as a result of multiple factors, such as cerebral flow restoration and a better QoL.

Indexed as

aortic stenosiscerebral flowcognitive declinequality of life

Identifiers

PMID39195174
PMCPMC11353580

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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.