ArticleInterdisciplinary cardiovascular and thoracic surgery2026
Left and Right Heart Remodelling at 1 Year After Transcatheter Versus Surgical Aortic Valve Replacement: A Speckle-Tracking Echocardiography Study.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Cardiac Remodelling After Transcatheter and Surgical Aortic Valve Replacement: A Tough Call.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
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Authors and funding
12 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesSpeckle-tracking echocardiography (STE) identifies subclinical myocardial dysfunction after aortic valve replacement. We compared strain-based remodelling and prognostic values after transcatheter (TAVR) vs surgical (SAVR) aortic valve replacement.
methodsWe analysed preoperative (preop) and postoperative (postop) left atrial volume index (LAVI), left ventricular (LV) global longitudinal strain (LV-GLS), right ventricular (RV) free wall strain (RV-FWS), RV global longitudinal strain (RV-GLS), and tricuspid annular plane systolic excursion (TAPSE) in 373 patients (TAVR n = 195; SAVR n = 178). Multivariable logistic regression assessed echocardiographic predictors of 1-year clinical outcomes.
resultsLeft ventricular ejection fraction and LV-GLS remained stable in both groups. Right ventricular function deteriorated post-SAVR compared to TAVR (P < .001), with marked declines in TAPSE and RV-GLS (both P < .001). Preop LAVI predicted mortality (adjusted OR, 1.03; 95% CI, 1.02-1.05; P = .001) and atrial fibrillation (AF) recurrence (OR, 1.04; 95% CI, 1.02-1.06; P = .001). Stroke was predicted by preop RV-GLS (OR, 0.91; P = .031) and TAPSE (OR, 1.12; P = .013). Postop LAVI (OR, 1.06; P = .001), RV-FWS (OR, 1.06; P = .016), RV-GLS (OR, 1.10; P = .006), and TAPSE (OR, 0.93; P = .035) also remained significant predictors. Furthermore, postop LV-GLS was associated with mortality (OR, 1.08; P = .013) and AF recurrence (OR, 1.16; P = .001).
conclusionsPreop and postop strain parameters, particularly LAVI, LV-GLS, and RV longitudinal metrics, provide substantial prognostic value. Divergent RV remodelling patterns support integrating routine echocardiographic strain assessment for longitudinal risk stratification.
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