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Electrocardiographic strain pattern is a major determinant of rehospitalization for heart failure after transcatheter aortic valve replacement

Journal of the American Heart Association Jan 21, 2021

Heger J, Trimaille A, Kibler M, et al. - Researchers investigated the effect as well as incremental value of electrocardiographic strain pattern (ESP) in predicting adverse result following transcatheter aortic valve replacement. This analysis involved patients suffering from severe aortic stenosis (mean age, 83±7 years; men, 39.8%) who were enrolled for transcatheter aortic valve replacement from November 2012 to May 2018. All‐cause death, rehospitalization for heart failure, myocardial infarction, and stroke were assessed as the primary endpoints. No influence of electric strain on overall and cardiac mortality could be established at a median follow‐up of 20.00 months. By contrast, significantly higher incidence of rehospitalization for heart failure was reported in patients with ESP. Overall, findings demonstrated a frequent presence of ESP as well as its link with an elevated risk of postinterventional heart failure irrespective of preoperative left ventricular hypertrophy, among patients suffering from aortic stenosis who were eligible for transcatheter aortic valve replacement. Experts suggested the utility of ESP as an easy, objective, dependable, and low‐cost instrument to recognize patients for whom intensified postinterventional follow‐up may be beneficial.

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