Evidence map›Paper›PMID 42143638›Full record

ArticleJournal of echocardiography2026

Left atrial stiffness as a predictor of one-year mortality after transcatheter aortic valve replacement.

Aranna Wicheantawatchai, Chalermchai Komaenthammasophon, Kullaya Takkavatakarn, Sudarat Satitthummanid, Vorarit Lertsuwunseri, Siriporn Athisakul, Suphot Srimahachota, Wacin Buddhari, Patita Sitticharoenchai

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Article in Journal of echocardiography, 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

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Aranna WicheantawatchaiDivision of Cardiology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Chalermchai KomaenthammasophonDivision of Critical Care Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Kullaya TakkavatakarnDivision of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Sudarat SatitthummanidDivision of Cardiology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Vorarit LertsuwunseriDivision of Cardiology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Siriporn AthisakulDivision of Cardiology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Suphot SrimahachotaDivision of Cardiology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Wacin BuddhariDivision of Cardiology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Patita SitticharoenchaiDivision of Cardiology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. patitasitti@gmail.com.ORCID http://orcid.org/0000-0001-8938-2727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with aortic stenosis (AS), risk stratification for valve intervention is primarily based on valve severity, symptom burden, and left ventricular (LV) function. However, cardiac damage may extend beyond the LV to involve the left atrium (LA), which can contribute to adverse outcomes.

objectiveThis study aimed to evaluate the prognostic value of the left atrial stiffness (LAS) in predicting one-year all-cause mortality in patients undergoing transcatheter aortic valve replacement (TAVR).

methodWe conducted a retrospective study of patients with severe AS who underwent TAVR between 2010 and 2023 at a single tertiary center. LAS was calculated as the ratio of E/e' to LA reservoir strain (LASr) using speckle-tracking echocardiography. Univariable and multivariable Cox regression analyses were performed to identify predictors of one-year mortality. The optimal cutoff value of LAS was determined using receiver operating characteristic (ROC) curve analysis.

resultsAmong 260 patients, LAS was significantly higher in non-survivors than survivors (p < 0.001). In Cox regression analysis, LAS was strongly associated with one-year all-cause mortality (HR, 1.19; 95% CI, 1.11-1.27; p < 0.001) and remained an independent predictor after adjustment for multiple clinical and echocardiographic risk factors. ROC analysis identified an optimal cutoff of 1.69 (AUC 0.88; sensitivity 82%, specificity 80%), which was confirmed by bootstrap validation.

conclusionLAS independently predicts one-year mortality after TAVR and may serve as a valuable addition to established risk stratification models.

Indexed as

Aortic stenosisLeft atrial stiffnessTranscatheter Aortic Valve Replacement

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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.