ArticleInternational journal of cardiology. Heart & vasculature2026
Predicting left-ventricular recovery and characterizing Cardiorenal risk after Transcatheter aortic valve replacement: A routine-data phenotyping and prediction-model study.
Article in International journal of cardiology. Heart & vasculature, 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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Abstract
Background: Ejection fraction (LVEF) underpins risk stratification before transcatheter aortic valve replacement (TAVR), yet it does not indicate whether an impaired ventricle will recover once the stenosis is relieved, or what drives death in high-risk patients. We asked whether routine preprocedural data could address both. Methods and Results: Among 1212 consecutive patients (1213 procedures) who underwent TAVR for severe aortic stenosis (2012-2026), unsupervised clustering of 18 routine variables (principal components, Ward linkage) defined four phenotypes: low-risk, elderly preserved-EF, reduced-EF, and cardiorenal. Five-year mortality ranged from 13.5% to 44.2% ( Conclusions: Routine preprocedural data can estimate which impaired ventricles recover after TAVR and identify a cardiorenal phenotype whose excess, largely noncardiovascular mortality is statistically explained by measurable renal dysfunction rather than captured by ejection fraction. Prospective external validation is warranted.
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