TABLE 2.
Echocardiographic and procedural data of patients with low versus high gradient severe aortic stenosis in the setting of normal left ventricular ejection fraction
Low gradient normal ejection fraction severe aortic stenosis (n = 73) | High gradient normal ejection fraction severe aortic stenosis (n = 229) | P-value | |
---|---|---|---|
Aortic valve peak velocity, m/sec | 3.5 [3.2–3.7] | 4.3 [4.1–4.7] | <0.001 |
Mean gradient, mmHg | 28 [23–31] | 44 [40–55] | <0.001 |
Aortic valve area, cm2 | 0.75 [0.68–0.86] | 0.70 [0.57–0.80] | <0.001 |
Left ventricular ejection fraction, % | 65 [60–70] | 65 [60–70] | 0.77 |
Left ventricular end-diastolic dimension, cm | 4.1 [3.6–4.7] | 4.2 [3.7–4.7] | 0.67 |
Left ventricular end-systolic diameter, cm | 2.7 [2.3–3.2] | 2.8 [2.4–3.1] | 0.88 |
Interventricular septum thickness, cm | 1.3 [1.2–1.5] | 1.3 [1.2–1.5] | 0.84 |
Posterior/inferolateral wall thickness, cm | 1.2 [1.1–1.3] | 1.2 [1.1–1.3] | 0.10 |
Aortic regurgitation (moderate or severe), % | 6 (8.2%) | 20 (8.7%) | 0.99 |
Mitral regurgitation (moderate or severe), % | 16 (21.9%) | 31 (13.5%) | 0.10 |
Mitral stenosis (severe), % | 0 | 7 (3.3%) | 0.20 |
Tricuspid regurgitation (severe), % | 2 (2.7%) | 4 (1.7%) | 0.63 |
Aortic root, cm | 3.1 [2.8–3.4] | 3.1 [2.8–3.4] | 0.48 |
Procedure status, % | |||
Elective | 71 (97.3%) | 218 (95.2%) | 0.74 |
Urgent | 2 (2.7%) | 11 (4.8%) | |
Emergency/Salvage | 0 | 0 | |
Access, % | 0.05 | ||
Transfemoral | 70 (95.9%) | 228 (99.6%) | |
Transapical | 2 (2.7%) | 1 (0.4%) | |
Subclavian | 1 (1.4%) | 0 | |
Anesthesia, % | 0.14 | ||
Monitored anesthesia care | 61 (83.6%) | 207 (90.4%) | |
General anesthesia | 12 (16.4%) | 22 (9.6%) | |
Device, % | 0.02 | ||
1st generation self-expanding valve | 21 (28.8%) | 61 (26.6%) | |
2nd generation self-expanding valve | 34 (46.6%) | 115 (50.2%) | |
1st generation balloon-expandable valve | 9 (12.3%) | 8 (3.5%) | |
2nd generation balloon-expandable valve | 9 (12.3%) | 45 (19.7%) | |
Predilation, % | 16 (22.2%) | 75 (32.8%) | 0.11 |
Postdilation, % | 20 (27.8%) | 98 (42.8%) | 0.03 |
Continuous data shown as median [interquartile range] and compared using Mann-Whitney test. Categorical data shown as frequency (proportion) and compared using tests of proportions.