Evidence map›Paper›PMID 41713933›Full record

ArticleKorean circulation journal2026

Prognostic Impact of 1-Year Left Ventricular Mass Regression After Aortic Valve Surgery in Severe Aortic Regurgitation.

Sunghee Park, So-Min Lim, Sahmin Lee, Byung-Joo Sun, Ho Jin Kim, Jong-Min Song, Dae-Hee Kim

Abstract read
In one paragraph

Article in Korean circulation journal, 2026. 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

7 authors.

Sunghee ParkDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0009-0006-3357-3886
So-Min LimDepartment of Cardiology, Yongin Severance Hospital, Yonsei University College of Medicine and Cardiovascular Center, Yongin, Korea.ORCID https://orcid.org/0009-0009-8484-238X
Sahmin LeeDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2250-7948
Byung-Joo SunDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-6019-4343
Ho Jin KimDepartment of Cardiothoracic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0809-2240
Jong-Min SongDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-6754-8199
Dae-Hee KimDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. daehee74@amc.seoul.kr.ORCID https://orcid.org/0000-0002-8275-4871

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesLeft ventricular reverse remodeling (LVRR) following aortic valve surgery has been associated with improved outcomes in chronic aortic regurgitation (AR), yet its definition remains controversial. This study evaluated the prognostic impact of LVRR using the degree of left ventricular mass index (LVMi) reduction.

methodsWe retrospectively analyzed patients undergoing surgery for severe AR at Asan Medical Center between January 2006 and December 2020. LVRR was determined by the degree of LVMi regression at 1 year postoperatively. Patients were categorized into greater (n=315) or lesser (n=248) regression groups based on time-dependent receiver operating characteristic curve analysis. The primary endpoint was a composite of all-cause mortality and rehospitalization due to heart failure (HF).

resultsOver a median follow-up of 7.58 years, 29 patients (9.2%) in the greater regression group and 51 (20.6%) in the lesser regression group experienced the primary endpoint. Multivariate Cox regression analysis revealed that the greater regression group had a lower risk of mortality or HF rehospitalization (hazard ratio, 0.44; 95% confidence interval, 0.27-0.72). Further analyses identified hypertension as the only clinical predictor of reduced LVRR, while smaller left atrial diameter, larger baseline LVMi, and higher left ventricular ejection fraction were independent echocardiographic predictors of greater LVRR.

conclusionsGreater 1-year postoperative LVMi regression was associated with improved outcomes in chronic AR, particularly by reducing HF-related hospitalizations. While hypertension negatively affected remodeling, favorable baseline echocardiographic profiles, including higher LVMi, preserved left ventricular ejection fraction, and a smaller left atrium, were connected to more significant postoperative LVRR.

Indexed as

Aortic regurgitationAortic valveCardiac remodeling, ventricularHypertrophyLeft ventricle remodeling

Identifiers

PMID41713933
PMCPMC13320581

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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.