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Impact of surgical and transcatheter aortic valve replacement on frailty score

Heart, Lung, and Circulation Oct 19, 2021

Jones DR, Chew DP, Horsfall MJ, et al. - The aortic stenosis (AS) population is commonly frail due to which outcomes after both transcatheter and surgical aortic valve replacement (TAVR and sAVR, respectively) are affected. Per findings from this study, improvement in frailty scores occurs following aortic valve intervention in both TAVR and sAVR treated patients.

  • This is a prospective, observational cohort study including 66 patients who were being assessed for aortic valve (AV) intervention with either TAVR or sAVR due to severe aortic stenosis.

  • Significantly lower mean Fried Frailty Scale (FFS) score was recorded, suggesting less frailty, at 6 months relative to pre-procedure (1.18 vs 1.73).

  • The lower frailty was linked with the change in symptoms.

  • Between intervention groups, there was a significant reduction in the final mean FFS of both groups, it reduced with TAVR to 1.33 and sAVR to 0.8.

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