Evidence map›Paper›PMID 39575719›Full record

ArticleJournal of the American Heart Association2024

Implications of Tricuspid Regurgitation Severity in Patients Undergoing Mitral Transcatheter Edge-to-Edge Repair.

Alon Shechter, Homa Taheri, Takashi Nagasaka, Aakriti Gupta, Danon Kaewkes, Vivek Patel, Kazuki Suruga, Manvir Dhillon, Keita Koseki, Ofir Koren and 6 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Worsening tricuspid regurgitation following a successful mitral valve procedure: how to manage.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  2. 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

16 authors.

Alon ShechterDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0001-9670-4026
Homa TaheriDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0009-0003-8612-0571
Takashi NagasakaDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.
Aakriti GuptaDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0001-9103-9872
Danon KaewkesDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0001-6405-8269
Vivek PatelDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0001-7209-3531
Kazuki SurugaDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0003-2537-4239
Manvir DhillonDepartment of Medicine Cedars-Sinai Medical Center Los Angeles CA USA.
Keita KosekiDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0002-4417-6900
Ofir KorenDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.
Moody MakarDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0003-4994-5796
Sabah SkafDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0002-0141-9546
Dhairya PatelDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.
Tarun ChakravartyDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.
Robert J SiegelDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0002-1552-0928
Raj R MakkarDepartment of Cardiology Smidt Heart Institute, Cedars-Sinai Medical Center Los Angeles CA USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrognostically meaningful tricuspid regurgitation (TR) is not well-defined in the mitral transcatheter edge-to-edge repair arena. We aimed to explore the prevalence, correlates, and consequences of TR grades and postprocedural trends in this setting. METHODS AND

resultsA single-center registry of isolated, first-time interventions was retrospectively assessed for pre-, intra-, and postprocedural aspects up to 1 year, of them the primary composite outcome of all-cause deaths or heart failure (HF) hospitalizations, all according to TR severity at baseline and at 1 month following mitral transcatheter edge-to-edge repair. Overall, 1287 individuals (60.3% men, age 78 [interquartile range, 69-85] years, 52.9% with functional mitral regurgitation) were included. Below-moderate, moderate, and above-moderate TR affected 48.4%, 29.5%, and 22.1% of patients, respectively. Increasing TR severity was accompanied by higher rates of functional, severe mitral regurgitation, greater comorbidity, and more advanced heart failure. Although not affecting technical and echocardiographic procedural success, moderate-and-above TR degrees were associated with higher incidence of mortality, heart failure admissions, and functional class III to IV postprocedure, with moderate-to-severe and greater TR independently conferring increased risk for the various outcomes (primary end point; HR, 1.36 [95% CI, 1.21-1.80];

conclusionsAmong patients undergoing mitral transcatheter edge-to-edge repair, above-moderate TR at baseline and the closely related moderate-and-above TR at 1 month postprocedure are highly prevalent and signal a suboptimal course.

Indexed as

Cardiac CatheterizationMitral Valve InsufficiencyRegistriesSeverity of Illness IndexTricuspid Valve InsufficiencyAgedAged, 80 and overFemaleHeart FailureHeart Valve Prosthesis ImplantationHumansMaleMitral ValvePrevalenceRetrospective StudiesRisk FactorsMitraClipmitral regurgitationmitral transcatheter edge‐to‐edge repairtranscatheter mitral valve repairtricuspid regurgitation

Identifiers

PMID39575719
PMCPMC11681571

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.