Table 3. Association of early AVR with all-cause or cardiovascular death of patients with moderate AS and concomitant LVSD.
Outcome | No. | Event | Total follow-up duration (years) | Incidence rate* crude | HRs (95% CI) | ||
---|---|---|---|---|---|---|---|
Crude | Adjusted† | ||||||
All-cause death | |||||||
Medical observation | 218 | 112 | 596 | 18.80 | 1 (ref.) | 1 (ref.) | |
Early AVR | 37 | 9 | 179 | 5.03 | 0.31 (0.16–0.61) | 0.43 (0.20–0.91) | |
Cardiovascular death | |||||||
Medical observation | 218 | 60 | 596 | 10.07 | 1 (ref.) | 1 (ref.) | |
Early AVR | 37 | 6 | 179 | 3.35 | 0.39 (0.17–0.90) | 0.48 (0.19–1.26) |
AS = aortic stenosis; AVA = aortic valve area; AVR = aortic valve replacement; CABG = coronary artery bypass graft; CI = confidence interval; COPD = chronic obstructive pulmonary disease; HR = hazard ratio; LVEF= left ventricular ejection fraction; LVSD = left ventricular systolic dysfunction; PCI = percutaneous coronary intervention; RAS = renin-angiotensin system.
*Incidence rate is presented as per 100 person-years; †Multivariable Cox-proportional hazard regression model was adjusted with age, sex, LVEF, AVA, hypertension, diabetes mellitus, dyslipidemia, prior PCI, prior CABG, COPD, previous stroke, hemoglobin, creatinine, RAS blockade, and beta-blockade.