Evidence map›Paper›PMID 42041989›Full record

ArticleJournal of cardiovascular development and disease2026

Valvulo-Arterial Impedance in Patients with Severe Aortic Stenosis and Bicuspid Aortic Valve.

Chun Kit Ng, Pilar Lopez Santi, Marie-Ange Fleury, Jingjing He, Nadeem Elmasry, Steele C Butcher, Marie-Annick Clavel, Philippe Pibarot, Jeroen J Bax, Nina Ajmone Marsan

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Article in Journal of cardiovascular development and disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Chun Kit NgDepartment of Cardiology, Leiden University Medical Center, 2300RC Leiden, The Netherlands.ORCID 0009-0008-4404-0342
Pilar Lopez SantiDepartment of Cardiology, Leiden University Medical Center, 2300RC Leiden, The Netherlands.ORCID 0000-0003-2887-4159
Marie-Ange FleuryCardiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, G1V 4G5 Québec, QC, Canada.
Jingjing HeDepartment of Cardiology, Leiden University Medical Center, 2300RC Leiden, The Netherlands.
Nadeem ElmasryDepartment of Cardiology, Leiden University Medical Center, 2300RC Leiden, The Netherlands.ORCID 0009-0008-3313-9611
Steele C ButcherDepartment of Cardiology, Leiden University Medical Center, 2300RC Leiden, The Netherlands.ORCID 0000-0001-8258-8802
Marie-Annick ClavelCardiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, G1V 4G5 Québec, QC, Canada.ORCID 0000-0002-8924-740X
Philippe PibarotCardiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, G1V 4G5 Québec, QC, Canada.ORCID 0000-0002-3607-279X
Jeroen J BaxDepartment of Cardiology, Leiden University Medical Center, 2300RC Leiden, The Netherlands.
Nina Ajmone MarsanDepartment of Cardiology, Leiden University Medical Center, 2300RC Leiden, The Netherlands.ORCID 0000-0001-7208-5769

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRisk stratification in patients with bicuspid aortic valve (BAV) and severe aortic stenosis (AS) remains challenging. Valvulo-arterial impedance (Zva), an integrated marker of global left ventricular (LV) afterload, has shown prognostic value in tricuspid AS; however, data in BAV are limited. This study aimed to evaluate the association of Zva with LV remodeling, symptoms, and all-cause death in patients with BAV and severe AS.

methodsIn this retrospective, two-center cohort study, 147 patients with severe AS and BAV were included. Zva was calculated at the time of the first echocardiographic diagnosis of severe AS. The study endpoint was all-cause mortality.

resultsOver a median follow-up of 9.8 years, 24 patients (16%) died. A Zva threshold of 5 mmHg/mL/m

conclusionsAmong patients with BAV and severe AS, an increased Zva was associated with more advanced symptoms, adverse LV remodeling, impaired LV systolic function, and worse long-term survival, and might therefore help in risk stratification of these patients.

Indexed as

aortic stenosisbicuspid aortic valvevalvulo-arterial impedance

Identifiers

PMID42041989
PMCPMC13115660

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