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. 2022 Jul 27;7(9):934–944. doi: 10.1001/jamacardio.2022.2222

Table 4. Association Between Early LVEF Improvement and 5-Year All-Cause Death After Transcatheter Aortic Valve Replacement in Prespecified Subgroups.

Subgroup LVEF improvement (per 5% increase) Increase in LVEF ≥10% points
aHR (95% CI) P value aHR (95% CI) P value
Effect Interaction Effect Interaction
Age, y
<80 0.89 (0.79-1.00) .06 .26 0.6 (0.38-1.03) .06 .30
≥80 0.96 (0.90-1.03) .27 0.8 (0.65-1.09) .19
Sex
Male 1.01 (0.94-1.08) .88 .01 1.0 (0.80-1.37) .73 .004
Female 0.84 (0.75-0.95) .005 0.5 (0.31-0.75) .001
Coronary artery disease
No 0.98 (0.86-1.11) .71 .60 1.05 (0.65-1.69) .83 .17
Yes 0.94 (0.88-1.00) .06 0.72 (0.55-0.94) .02
Prior myocardial infarction
No 0.96 (0.89-1.03) .23 .68 0.83 (0.64-1.09) .18 .57
Yes 0.93 (0.83-1.04) .22 0.71 (0.44-1.14) .16
STS score
<4 1.06 (0.74-1.50) .76 .20 1.1 (0.31-3.60) .93 .17
4-8 0.95 (0.86-1.05) .29 0.9 (0.59-1.27) .47
>8 0.89 (0.82-0.96) .002 0.6 (0.42-0.76) <.001
Baseline LVEF, %
≤35 0.96 (0.88-1.05) .37 .56 0.9 (0.61-1.22) .39 .44
>35 0.92 (0.85-1.00) .06 0.7 (0.52-0.98) .04
Baseline AVA, cm2
<0.6 0.97 (0.89-1.05) .43 .49 0.7 (0.47-0.96) .03 .26
≥0.6 0.93 (0.85-1.01) .09 0.9 (0.65-1.22) .47
Baseline AV mean gradient, mm Hg
<50 0.94 (0.82-1.09) .41 .85 0.8 (0.64-1.07) .15 .82
≥50 0.96 (0.90-1.03) .22 0.8 (0.45-1.30) .32
Baseline AR
None/mild 1.05 (0.87-1.25) .63 .28 0.8 (0.60-0.98) .01 .17
≥Moderate 0.94 (0.88-1.01) .07 1.3 (0.64-2.62) .47
Baseline MR
None/mild 0.92 (0.82-1.03) .14 .40 0.8 (0.63-1.10) .20 .53
≥Moderate 0.97 (0.90-1.05) .46 0.7 (0.45-1.11) .13

Abbreviations: aHR, adjusted hazard ratio; AR, aortic regurgitation; AV, aortic valve; AVA, aortic valve area; LVEF, left ventricular ejection fraction; MR, mitral regurgitation; STS, Society of Thoracic Surgeons.