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.