Table 1 Baseline characteristics of unmatched and matched cohorts
Pre-matched cohort | Matched cohort | ||||||
|---|---|---|---|---|---|---|---|
S3UR | S3 | S3UR | S3 | ||||
N = 887 | N = 1482 | p | N = 775 | N = 775 | p | ASD | |
Age, years | 83.8 ± 6.1 | 83.5 ± 6.3 | 0.177 | 83.6 ± 6.0 | 83.7 ± 6.4 | 0.485 | 0.085 |
Sex (male) | 356 (40.1) | 657 (44.3) | 0.046 | 320 (41.3) | 314 (40.5) | 0.757 | 0.016 |
Body mass index, kg/m² | 22.3 ± 3.9 | 22.2 ± 3.8 | 0.521 | 22.4 ± 3.9 | 22.4 ± 3.9 | 0.673 | 0.017 |
STS-PROM score, % | 6.0 [4.0–9.1] | 6.1 [3.8–9.5] | 0.769 | 5.9 [4.0–8.9] | 5.7 [3.7–9.4] | 0.54 | 0 |
Clinical frailty scale ≥4 | 195 (22.0) | 365 (24.6) | <0.001 | 175 (22.6) | 188 (24.3) | 0.516 | 0.041 |
NYHA III or IV | 289 (32.6) | 454 (30.6) | 0.081 | 233 (30.1) | 253 (32.6) | 0.274 | 0.056 |
Hemoglobin, g/dL | 11.5 [10.4–12.7] | 11.4 [10.4–12.6] | 0.572 | 11.5 [10.5–12.8] | 11.5 [10.3–12.7] | 0.385 | 0.055 |
Brain Natrium Peptide, pg/ml | 194 [82–554] | 312 [125–827] | <0.001 | 190 [80–534] | 270 [110–705] | 0.001 | 0.144 |
Concomitant diseases | |||||||
Hypertension | 716 (80.7) | 1183 (80.0) | 0.687 | 626 (80.8) | 648 (83.6) | 0.144 | 0.025 |
Diabetes mellitus | 296 (33.4) | 456 (30.8) | 0.101 | 251 (32.4) | 238 (30.7) | 0.477 | 0.036 |
Dyslipidemia | 463 (52.2) | 749 (50.7) | 0.484 | 413 (53.3) | 390 (50.4) | 0.253 | 0.058 |
Chronic kidney disease (GFR < 60 mL/min/1.73 m²) | 672 (75.8) | 1141 (77.3) | 0.407 | 582 (75.1) | 586 (75.6) | 0.814 | 0.012 |
Dialysis | 181 (20.4) | 411 (27.8) | <0.001 | 166 (21.4) | 177 (22.8) | 0.501 | 0.034 |
COPD | 89 (10.0) | 127 (8.6) | 0.237 | 67 (8.6) | 67 (8.6) | 1 | 0 |
Atrial fibrillation | 197 (22.2) | 321 (21.8) | 0.799 | 159 (20.5) | 176 (22.7) | 0.294 | 0.053 |
Coronary artery disease | 293 (33.0) | 545 (36.8) | 0.065 | 262 (33.8) | 263 (33.9) | 0.957 | 0.003 |
Peripheral artery disease | 142 (16.0) | 261 (17.7) | 0.298 | 119 (15.4) | 121 (15.6) | 0.888 | 0.007 |
Carotid stenosis | 58 (6.5) | 69 (4.7) | 0.050 | 47 (6.1) | 40 (5.2) | 0.436 | 0.04 |
Previous history | |||||||
Smoking | 246 (28.2) | 462 (31.9) | 0.064 | 213 (28.1) | 242 (31.9) | 0.104 | 0.083 |
History of PCI | 158 (17.8) | 333 (22.5) | 0.006 | 143 (18.5) | 167 (21.6) | 0.124 | 0.078 |
History of CABG | 32 (3.6) | 56 (3.8) | 0.831 | 28 (3.6) | 22 (2.8) | 0.388 | 0.044 |
History of myocardial infarction | 47 (5.3) | 119 (8.0) | 0.011 | 43 (5.5) | 55 (7.1) | 0.21 | 0.064 |
History of stroke | 91 (10.3) | 194 (13.1) | 0.022 | 85 (11.0) | 90 (11.6) | 0.561 | 0.02 |
Previous pacemaker | 47 (5.3) | 84 (5.7) | 0.149 | 40 (5.2) | 41 (5.3) | 0.909 | 0.034 |
Echocardiographic data | 1.148 | 0.968–1.360 | 0.113 | ||||
Aortic valve area, cm² | 0.69 ± 0.19 | 0.67 ± 0.19 | 0.002 | 0.69 ± 0.19 | 0.68 ± 0.19 | 0.292 | 0.035 |
Index aortic valve area, cm²/m² | 0.47 ± 0.13 | 0.45 ± 0.13 | <0.001 | 0.47 ± 0.13 | 0.46 ± 0.13 | 0.406 | 0.028 |
Peak flow velocity, m/s | 4.3 ± 0.65 | 4.3 ± 0.71 | 0.989 | 4.3 ± 0.65 | 4.3 ± 0.68 | 0.628 | 0.013 |
Aortic valve peak gradient, mmHg | 74.9 ± 22.6 | 75.1 ± 25.2 | 0.922 | 74.4 ± 22.7 | 74.7 ± 23.7 | 0.693 | 0.012 |
Aortic valve mean gradient, mmHg | 43.3 ± 14.4 | 43.5 ± 15.6 | 0.692 | 43.1 ± 14.4 | 43.4 ± 14.7 | 0.335 | 0.018 |
Left ventricular ejection fraction, % | 59.3 ± 12.3 | 57.6 ± 13.4 | 0.004 | 59.4 ± 12.3 | 59.3 ± 12.3 | 0.594 | 0.011 |
Preserved ( ≥ 50%) | 716 (80.7) | 1121 (75.6) | 0.005 | 623 (80.4) | 630 (81.3) | 0.865 | 0.016 |
Mid-range ( ≥ 40, <50%) | 86 (9.7) | 166 (11.2) | 77 (9.9) | 71 (9.2) | |||
Reduced ( < 40%) | 85 (9.6%) | 186 (12.6) | 75 (9.7) | 74 (9.5) | |||
Aortic regurgitation ≥moderate | 109 (12.3) | 197 (13.3) | 0.037 | 86 (11.1) | 86 (11.1) | 1 | 0 |
Mitral regurgitation ≥moderate | 93 (10.5) | 305 (20.6) | <0.001 | 91 (11.7) | 95 (12.3) | 0.755 | 0.016 |
Tricuspid regurgitation ≥moderate | 58 (6.5) | 164 (11.1) | <0.001 | 50 (6.5) | 56 (7.2) | 0.546 | 0.031 |
Computed Tomography | |||||||
Annulus Area, mm2 | 424 ± 78 | 420 ± 74 | 0.426 | 423 ± 76 | 421 ± 77 | 0.572 | 0.026 |
Area <430 mm2, % | 523 (59.0) | 886 (59.8) | 0.006 | 456 (58.8) | 488 (63.0) | 0.096 | |
Perimeter, mm | 74.4 ± 6.8 | 74.0 ± 6.6 | 0.117 | 74.2 ± 6.6 | 73.3 ± 6.7 | 0.444 | 0.032 |