Buchumschlag

Malnutrition and outcomes in patients with tricuspid regurgitation undergoing transcatheter tricuspid valve repair

Aims The impact of malnutrition in patients with tricuspid regurgitation (TR) undergoing tricuspid transcatheter edge-to-edge repair (T-TEER) is not well established. We evaluated the impact of malnutrition among patients with symptomatic TR undergoing T-TEER. Methods and results Baseline nutritiona...

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Hauptverfasser: Pagnesi, Matteo (VerfasserIn) , Adamo, Marianna (VerfasserIn) , Stolz, Lukas (VerfasserIn) , Pancaldi, Edoardo (VerfasserIn) , Kresoja, Karl-Patrik (VerfasserIn) , von Stein, Jennifer (VerfasserIn) , Fortmeier, Vera (VerfasserIn) , Koell, Benedikt (VerfasserIn) , Rottbauer, Wolfgang (VerfasserIn) , Kassar, Mohammad (VerfasserIn) , Goebel, Bjoern (VerfasserIn) , Denti, Paolo (VerfasserIn) , Achouh, Paul (VerfasserIn) , Rassaf, Tienush (VerfasserIn) , Barreiro-Perez, Manuel (VerfasserIn) , Boekstegers, Peter (VerfasserIn) , Rück, Andreas (VerfasserIn) , Zdanyte, Monika (VerfasserIn) , Vincent, Flavien (VerfasserIn) , Schlegel, Philipp (VerfasserIn) , von Bardeleben, Ralph-Stephan (VerfasserIn) , Wild, Mirjam G. (VerfasserIn) , Besler, Christian (VerfasserIn) , Brunner, Stephanie (VerfasserIn) , Toggweiler, Stefan (VerfasserIn) , Grapsa, Julia (VerfasserIn) , Patterson, Tiffany (VerfasserIn) , Thiele, Holger (VerfasserIn) , Kister, Tobias (VerfasserIn) , Tarantini, Giuseppe (VerfasserIn) , Masiero, Giulia (VerfasserIn) , De Carlo, Marco (VerfasserIn) , Sticchi, Alessandro (VerfasserIn) , Konstandin, Mathias (VerfasserIn) , Van Belle, Eric (VerfasserIn) , Geisler, Tobias (VerfasserIn) , Estévez-Loureiro, Rodrigo (VerfasserIn) , Luedike, Peter (VerfasserIn) , Karam, Nicole (VerfasserIn) , Maisano, Francesco (VerfasserIn) , Lauten, Philipp (VerfasserIn) , Praz, Fabien (VerfasserIn) , Kessler, Mirjam (VerfasserIn) , Kalbacher, Daniel (VerfasserIn) , Rudolph, Volker (VerfasserIn) , Iliadis, Christos (VerfasserIn) , Lurz, Philipp (VerfasserIn) , Hausleiter, Jörg (VerfasserIn) , Metra, Marco (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: July 2025
In: European journal of heart failure
Year: 2025, Jahrgang: 27, Heft: 7, Pages: 1304-1314
ISSN:1879-0844
DOI:10.1002/ejhf.3623
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1002/ejhf.3623
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/ejhf.3623
Volltext
Verfasserangaben:Matteo Pagnesi, Marianna Adamo, Lukas Stolz, Edoardo Pancaldi, Karl-Patrik Kresoja, Jennifer von Stein, Vera Fortmeier, Benedikt Koell, Wolfgang Rottbauer, Mohammad Kassar, Bjoern Goebel, Paolo Denti, Paul Achouh, Tienush Rassaf, Manuel Barreiro-Perez, Peter Boekstegers, Andreas Rück, Monika Zdanyte, Flavien Vincent, Philipp Schlegel, Ralph-Stephan von Bardeleben, Mirjam G. Wild, Christian Besler, Stephanie Brunner, Stefan Toggweiler, Julia Grapsa, Tiffany Patterson, Holger Thiele, Tobias Kister, Giuseppe Tarantini, Giulia Masiero, Marco De Carlo, Alessandro Sticchi, Mathias H. Konstandin, Eric Van Belle, Tobias Geisler, Rodrigo Estévez-Loureiro, Peter Luedike, Nicole Karam, Francesco Maisano, Philipp Lauten, Fabien Praz, Mirjam Kessler, Daniel Kalbacher, Volker Rudolph, Christos Iliadis, Philipp Lurz, Jörg Hausleiter, and Marco Metra, on behalf of the EuroTR Investigators
Beschreibung
Zusammenfassung:Aims The impact of malnutrition in patients with tricuspid regurgitation (TR) undergoing tricuspid transcatheter edge-to-edge repair (T-TEER) is not well established. We evaluated the impact of malnutrition among patients with symptomatic TR undergoing T-TEER. Methods and results Baseline nutritional status was evaluated using the geriatric nutritional risk index (GNRI), based on serum albumin concentrations and body weight to ideal body weight ratio, among patients with symptomatic TR undergoing T-TEER, enrolled in the multicentre EuroTR registry between March 2016 and February 2024. Malnutrition was defined as GNRI ≤98. The primary outcome of interest was all-cause mortality. A total of 1034 patients were included (mean age 78.4 ± 7.3 years, 47.7% male). Among them, GNRI ≤98 (i.e. malnutrition) was observed in 211 patients (20.4%). Estimated rates of all-cause death at 2 years were 45.9% and 28.2% in patients with and without malnutrition, respectively (log-rank p < 0.001). After multivariable adjustment, malnutrition was independently associated with an increased risk of mortality (adjusted hazard ratio 1.53, 95% confidence interval 1.11-2.10, p = 0.009), also confirmed at inverse probability of treatment weighting-adjusted analysis. As compared to post-procedural residual TR ≥3+, residual TR ≤2+ was associated with a similar lower risk of mortality in patients with and without malnutrition (interaction p = 0.947). Conclusion In the large, real-world, multicentre EuroTR registry, malnutrition was present in one out of five patients with symptomatic TR undergoing T-TEER and was independently associated with increased mortality. The prognostic benefit of successful T-TEER in reducing mortality was consistently observed in patients with and without malnutrition.
Beschreibung:Online veröffentlicht am 20. Februar 2025
Gesehen am 09.12.2025
Beschreibung:Online Resource
ISSN:1879-0844
DOI:10.1002/ejhf.3623

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