Incidence, prognostic impact, and predictive factors of a readmission for congestive heart failure one year after transcatheter aortic valve replacement, a prospective study - 09/01/21
Résumé |
Introduction |
TAVR is indicated in patients with severe symptomatic aortic stenosis in whom surgery is considered intermediate risk. In a retrospective study (2010-2014), 24% of patients were rehospitalized for heart failure (HF) one year after TAVI.
Purpose |
We aimed to assess the incidence, prognostic impact, and predictive factors of readmission for congestive heart failure (CHF) one year after TAVR in an intermediate risk population.
Methods |
All patients who underwent transfemoral TAVR from mars 2018 to october 2018 were included. Prospective follow-up was achieved at 1 year and included, MACCE, readmission for CHF, clinical and echocardiographic data.
Results |
This study included 102 patients. Medial aging, sex ratio and medial logistic euroSCORE were respectively 85 [81–87] years, 50% and 13%[9-19,1]. One year after TAVR, 39 patients (39%) had been readmitted at least once, and 9 (9%) for CHF, one patient was readmitted twice. On multivariate analysis, a previous episode of CHF was the only factor close to be associated with CHF readmission at 1 year (hazard ratio: 10,52 (0,74–149,35), P=0.06).
Conclusion |
The incidence of readmission for CHF decrease between 2014 and 2018. A previous episode of CHF is the only factor associated with CHF readmission in our study.
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Vol 13 - N° 1
P. 38 - janvier 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.