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.