Table 3. Hemodynamics before and after aortic valve replacement.
| preop | 1-week postop | P value | 3-month postop | P value | 1-year postop | P value | 2-year postop | P value | 3-year postop | P value | 4-year postop | P value | 5-year postop | P value | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of followers | 34 | 32 | 28 | 22 | 16 | 15 | 14 | 12 | |||||||
| Mitral valve area (cm2) | 1.80 ± 0.15 | 2.41 ± 0.40 | <0.001 | 2.42 ± 0.46 | <0.001 | 2.32 ± 0.41 | <0.001 | 2.26 ± 0.58 | 0.007 | 2.27 ± 0.57 | 0.006 | 2.19 ± 0.62 | 0.033 | 2.32 ± 0.48 | 0.006 |
| Left ventricular ejection fraction (%) | 61.1 ± 8.5 | 59.5 ± 7.9 | 0.443 | 62.5 ± 5.6 | 0.448 | 63.0 ± 4.6 | 0.265 | 64.0 ± 3.4 | 0.079 | 61.5 ± 2.1 | 0.423 | 62.3 ± 4.4 | 0.406 | 62.2. ± 3.7 | 0.710 |
| Left ventricular end diastolic diameter (mm) | 48.6 ± 7.3 | 45.0 ± 6.2 | 0.033 | 42.4 ± 4.7 | <0.001 | 42.3 ± 3.1 | <0.001 | 42.2 ± 3.8 | <0.001 | 44.4 ± 5.2 | 0.014 | 41.9 ± 3.8 | 0.004 | 42.5 ± 3.8 | 0.027 |
| Left ventricular end systolic diameter (mm) | 32.5 ± 7.0 | 31.2 ± 5.2 | 0.412 | 27.8 ± 3.2 | 0.002 | 27.9 ± 2.8 | 0.001 | 27.7 ± 3.2 | 0.001 | 29.3 ± 3.7 | 0.043 | 26.7 ± 2.9 | <0.001 | 28.3 ± 2.9 | 0.109 |
| Left ventricular mass (g) | 253 ± 87 | 225 ± 72 | 0.155 | 187 ± 52 | 0.001 | 175 ± 47 | 0.001 | 162 ± 41 | <0.001 | 169 ± 37 | <0.001 | 163 ± 34 | 0.001 | 161 ± 47 | 0.001 |
| Left atrial diameter (mm) | 45.3 ± 7.6 | 42.9 ± 6.9 | 0.184 | 42.7 ± 6.9 | 0.162 | 41.3 ± 6.0 | 0.038 | 42.8 ± 4.7 | 0.204 | 45.4 ± 6.1 | 0.702 | 43.1 ± 6.4 | 0.368 | 41.8 ± 6.0 | 0.235 |
| E/e' (lateral) | 19.3 ± 10.4 | 22.5 ± 12.0 | 0.308 | 20.0 ± 9.9 | 0.804 | 19.9 ± 10.6 | 0.837 | 19.2 ± 7.3 | 0.983 | 25.2 ± 12.9 | 0.126 | 24.3 ± 8.3 | 0.226 | 28.7 ± 9.9 | 0.040 |
| E/e' (septal) | 25.7 ± 14.3 | 28.0 ± 11.9 | 0.529 | 29.2 ± 14.5 | 0.399 | 28.0 ± 14.5 | 0.572 | 29.6 ± 9.2 | 0.321 | 30.7 ± 10.4 | 0.264 | 29.0 ± 9.6 | 0.573 | 34.0 ± 9.3 | 0.158 |
| Aortic valve | |||||||||||||||
| Aortic valve area (cm2) | 0.79 ± 0.19 | 1.72 ± 0.31 | <0.001 | 1.72 ± 0.26 | <0.001 | 1.80 ± 0.25 | <0.001 | 1.71 ± 0.26 | <0.001 | 1.71 ± 0.27 | <0.001 | 1.71 ± 0.31 | <0.001 | 1.67 ± 0.23 | <0.001 |
| Indexed aortic valve area (cm2/m2) | 0.56 ± 0.13 | 1.23 ± 0.23 | <0.001 | 1.23 ± 0.23 | <0.001 | 1.30 ± 0.21 | <0.001 | 1.21 ± 0.19 | <0.001 | 1.21 ± 0.20 | <0.001 | 1.20 ± 0.23 | <0.001 | 1.18 ± 0.17 | <0.001 |
| Peak velocity (m/s) | 4.8 ± 0.8 | 2.5 ± 0.6 | <0.001 | 2.4 ± 0.4 | <0.001 | 2.2 ± 0.4 | <0.001 | 2.3 ± 0.5 | <0.001 | 2.1 ± 0.4 | <0.001 | 2.3 ± 0.7 | <0.001 | 2.6 ± 0.9 | <0.001 |
| Peak pressure gradient (mmHg) | 92.8 ± 30.6 | 26.1 ± 13.2 | <0.001 | 23.4 ± 8.5 | <0.001 | 21.6 ± 7.3 | <0.001 | 22.4 ± 9.6 | <0.001 | 18.9 ± 7.4 | <0.001 | 22.1 ± 13.1 | <0.001 | 28.9 ± 19.6 | <0.001 |
| Mean pressure gradient (mmHg) | 51.4 ± 18.5 | 12.1 ± 6.1 | <0.001 | 10.9 ± 4.0 | <0.001 | 10.2 ± 3.3 | <0.001 | 10.7 ± 5.6 | <0.001 | 9.1 ± 3.0 | <0.001 | 11.2 ± 7.2 | <0.001 | 14.1 ± 10.1 | <0.001 |