1
|
Fernánez Ruiz A, Ruiz Ortiz M, Fernández-Avilés Irache C, Rodríguez Almodóvar AM, Delgado Ortega M, Esteban Martínez F, Resúa Collazo A, Heredia Campos G, Pan Álvarez-Ossorio M, Mesa Rubio D. New severity criteria for tricuspid regurgitation in a broad population of "real life" patients: Prevalence and prognostic impact. Curr Probl Cardiol 2024; 49:102211. [PMID: 37993009 DOI: 10.1016/j.cpcardiol.2023.102211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 11/18/2023] [Indexed: 11/24/2023]
Abstract
Introduction Our objective was to determine, in "real life" patients, the prevalence of massive and torrential regurgitation among patients diagnosed with severe tricuspid regurgitation (TR), as well as its impact on long-term prognosis. Methods In a single-center retrospective study, all patients with an echocardiographic diagnosis of severe TR attended at a tertiary care hospital of an European country from January 2008 to December 2017 were recruited. Images were analysed off-line to measure the maximum vena contracta (VC) and TR was classified into three groups: severe (VC ≥ 7 mm), massive (VC 14-20 mm), and torrential (VC ≥ 21 mm). The impact of this classification on the combined event of heart failure (HF) admission and all-cause death in follow-up was investigated. Results A total of 614 patients (70 ± 13 years, 72 % women) were included. 81.4 % had severe TR, 15.8 % massive TR, and 2.8 % torrential TR. The 5-year HF-free survival was 42 %, 43 %, and 12 % (p = 0.001), for the different subgroups of severe TR, respectively. After adjusting for baseline characteristics, TR severity was an independent predictor of survival free of the combined end-point: HR 0.91 [95 % CI 0.70-1.18] p = 0.46, for massive TR; and HR 2.5 [95 % CI 1.49-4.21] p = 0.001, for torrential TR considering severe TR as reference. Conclusions The prevalence of massive and torrential TR is not negligible among patients with severe TR in real life. The prognosis is significantly worse for patients with torrential TR measured by the maximum VC.
Collapse
Affiliation(s)
- Ana Fernánez Ruiz
- Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain
| | - Martín Ruiz Ortiz
- Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain; Maimonides Institute for Biomedical Research of Córdoba, IMIBIC, Córdoba, Spain.
| | | | | | - Mónica Delgado Ortega
- Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain; Maimonides Institute for Biomedical Research of Córdoba, IMIBIC, Córdoba, Spain
| | | | | | | | - Manuel Pan Álvarez-Ossorio
- Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain; Maimonides Institute for Biomedical Research of Córdoba, IMIBIC, Córdoba, Spain
| | - Dolores Mesa Rubio
- Cardiology Department, University Hospital Reina Sofía, Córdoba, Spain; Maimonides Institute for Biomedical Research of Córdoba, IMIBIC, Córdoba, Spain
| |
Collapse
|
2
|
Heredia Campos G, Resúa Collazo A, Fernández-Avilés Irache C, Anguita Gámez P, Castillo Domínguez JC, Anguita Sánchez M. Healthcare-associated nosocomial and nosohusial infective endocarditis: are there any differences? Rev Esp Cardiol (Engl Ed) 2022; 75:960-962. [PMID: 35662677 DOI: 10.1016/j.rec.2022.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
| | | | | | - Paula Anguita Gámez
- Servicio de Odontología, Hospital HM Puerta del Sur, Móstoles, Madrid, Spain; Facultad de Odontología, Universidad San Pablo-CEU, Madrid, Spain
| | - Juan C Castillo Domínguez
- Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain; Instituto Maimónides de Investigación Biomédica, Universidad de Córdoba, Córdoba, Spain
| | - Manuel Anguita Sánchez
- Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain; Instituto Maimónides de Investigación Biomédica, Universidad de Córdoba, Córdoba, Spain
| |
Collapse
|
3
|
Heredia Campos G, Resúa Collazo A, Fernández-Avilés Irache C, Anguita Gámez P, Castillo Domínguez JC, Anguita Sánchez M. Endocarditis infecciosa nosocomial y nosohusial en relación con la atención sanitaria: ¿existen diferencias? Rev Esp Cardiol 2022. [DOI: 10.1016/j.recesp.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|