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New severity criteria for tricuspid regurgitation in a broad population of "real life" patients: Prevalence and prognostic impact.
Fernánez Ruiz, Ana; Ruiz Ortiz, Martín; Fernández-Avilés Irache, Consuelo; Rodríguez Almodóvar, Ana María; Delgado Ortega, Mónica; Esteban Martínez, Fátima; Resúa Collazo, Adriana; Heredia Campos, Gloria; Pan Álvarez-Ossorio, Manuel; Mesa Rubio, Dolores.
Afiliación
  • Fernánez Ruiz A; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain.
  • Ruiz Ortiz M; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain; Maimonides Institute for Biomedical Research of Córdoba, IMIBIC, Córdoba, Spain. Electronic address: maruor@gmail.com.
  • Fernández-Avilés Irache C; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain.
  • Rodríguez Almodóvar AM; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain.
  • Delgado Ortega M; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain; Maimonides Institute for Biomedical Research of Córdoba, IMIBIC, Córdoba, Spain.
  • Esteban Martínez F; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain.
  • Resúa Collazo A; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain.
  • Heredia Campos G; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain.
  • Pan Álvarez-Ossorio M; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain; Maimonides Institute for Biomedical Research of Córdoba, IMIBIC, Córdoba, Spain.
  • Mesa Rubio D; Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain; Maimonides Institute for Biomedical Research of Córdoba, IMIBIC, Córdoba, Spain.
Curr Probl Cardiol ; 49(2): 102211, 2024 Feb.
Article en En | MEDLINE | ID: mdl-37993009
Introduction Our objective was to determine, in "real life" patients, the prevalence of massive and torrential regurgitation among patients diagnosed with severe tricuspid regurgitation (TR), as well as its impact on long-term prognosis. Methods In a single-center retrospective study, all patients with an echocardiographic diagnosis of severe TR attended at a tertiary care hospital of an European country from January 2008 to December 2017 were recruited. Images were analysed off-line to measure the maximum vena contracta (VC) and TR was classified into three groups: severe (VC ≥ 7 mm), massive (VC 14-20 mm), and torrential (VC ≥ 21 mm). The impact of this classification on the combined event of heart failure (HF) admission and all-cause death in follow-up was investigated. Results A total of 614 patients (70 ± 13 years, 72 % women) were included. 81.4 % had severe TR, 15.8 % massive TR, and 2.8 % torrential TR. The 5-year HF-free survival  was 42 %, 43 %, and 12 % (p = 0.001), for the different subgroups of severe TR, respectively. After adjusting for baseline characteristics, TR severity was an independent predictor of survival free of the combined end-point: HR 0.91 [95 % CI 0.70-1.18] p = 0.46, for massive TR; and HR 2.5 [95 % CI 1.49-4.21] p = 0.001, for torrential TR considering severe TR as reference. Conclusions The prevalence of massive and torrential TR is not negligible among patients with severe TR in real life. The prognosis is significantly worse for patients with torrential TR measured by the maximum VC.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia de la Válvula Tricúspide / Insuficiencia Cardíaca Límite: Female / Humans / Male Idioma: En Revista: Curr Probl Cardiol Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia de la Válvula Tricúspide / Insuficiencia Cardíaca Límite: Female / Humans / Male Idioma: En Revista: Curr Probl Cardiol Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Países Bajos