| All (n = 582) | Q1 (n = 146) | Q2 (n = 145) | Q3 (n = 146) | Q4 (n = 145) | P | P for trend |
---|---|---|---|---|---|---|---|
SHR | 0.85 ± 0.20 | 0.66 ± 0.06 | 0.77 ± 0.02 | 0.87 ± 0.03 | 1.14 ± 0.25 | < 0.001 | < 0.001 |
Demographics and medical history | |||||||
Age, years | 75.50 ± 7.44 | 75.82 ± 7.56 | 76.52 ± 6.84 | 74.89 ± 7.09 | 74.76 ± 8.14 | 0.143 | 0.081 |
Male, % | 340 (58.42%) | 83 (56.85%) | 84 (57.93%) | 80 (54.79%) | 93 (64.14%) | 0.407 | 0.307 |
BMI*, kg/m2 | 23.59 ± 3.65 | 23.54 ± 3.93 | 23.71 ± 3.51 | 23.86 ± 3.33 | 23.23 ± 3.80 | 0.496 | 0.568 |
EuroSCORE II*, % | 2.96 (1.85–5.12) | 3.19 (1.94–5.43) | 2.48 (1.79–3.70) | 2.82 (1.73–4.40) | 3.76 (2.20–6.59) | < 0.001 | 0.004 |
NYHA class ≥ III, % | 436 (74.91%) | 116 (79.45%) | 102 (70.34%) | 107 (73.29%) | 111 (76.55%) | 0.305 | 0.740 |
Smoking status, % | Â | Â | Â | Â | Â | 0.062 | 0.292 |
 Never | 352 (60.48%) | 79 (54.11%) | 89 (61.38%) | 101 (69.18%) | 83 (57.24%) |  |  |
 Ex-smoker | 175 (30.07%) | 53 (36.30%) | 37 (25.52%) | 35 (23.97%) | 50 (34.48%) |  |  |
 Current | 55 (9.45%) | 14 (9.59%) | 19 (13.10%) | 10 (6.85%) | 12 (8.28%) |  |  |
Hypertension, % | 364 (62.54%) | 94 (64.38%) | 95 (65.52%) | 86 (58.90%) | 89 (61.38%) | 0.644 | 0.384 |
Hyperlipemia, % | 362 (62.20%) | 87 (59.59%) | 96 (66.21%) | 89 (60.96%) | 90 (62.07%) | 0.680 | 0.901 |
Coronary heart disease, % | 251 (43.13%) | 62 (42.47%) | 66 (45.52%) | 57 (39.04%) | 66 (45.52%) | 0.638 | 0.885 |
Previous myocardial infarction, % | 46 (7.90%) | 13 (8.90%) | 10 (6.90%) | 9 (6.16%) | 14 (9.66%) | 0.655 | 0.882 |
Previous coronary revascularization, % | 96 (16.49%) | 25 (17.12%) | 21 (14.48%) | 25 (17.12%) | 25 (17.24%) | 0.904 | 0.829 |
Chronic heart failure, % | 225 (38.66%) | 63 (43.15%) | 57 (39.31%) | 52 (35.62%) | 53 (36.55%) | 0.550 | 0.193 |
Atrial fibrillation, % | 98 (16.84%) | 22 (15.07%) | 24 (16.55%) | 30 (20.55%) | 22 (15.17%) | 0.561 | 0.754 |
Peripheral arterial disease, % | 92 (15.81%) | 23 (15.75%) | 20 (13.79%) | 23 (15.75%) | 26 (17.93%) | 0.817 | 0.532 |
Previous valvular intervention, % | 14 (2.41%) | 4 (2.74%) | 2 (1.38%) | 2 (1.37%) | 6 (4.14%) | 0.356 | 0.465 |
Previous stroke, % | 71 (12.20%) | 19 (13.01%) | 20 (13.79%) | 16 (10.96%) | 16 (11.03%) | 0.843 | 0.470 |
COPD, % | 61 (10.48%) | 18 (12.33%) | 13 (8.97%) | 12 (8.22%) | 18 (12.41%) | 0.520 | 0.962 |
Chronic kidney disease, % | 50 (8.59%) | 21 (14.38%) | 9 (6.21%) | 7 (4.79%) | 13 (8.97%) | 0.019 | 0.087 |
Diabetes mellitus, % | 192 (32.99%) | 61 (41.78%) | 37 (25.52%) | 36 (24.66%) | 58 (40.00%) | < 0.001 | 0.713 |
Systolic blood pressure, mmHg | 128.32 ± 21.54 | 127.27 ± 22.58 | 131.57 ± 21.39 | 130.71 ± 21.31 | 123.73 ± 20.12 | 0.007 | 0.154 |
Diastolic blood pressure, mmHg | 69.46 ± 12.30 | 68.34 ± 11.82 | 70.86 ± 11.68 | 71.06 ± 14.23 | 67.55 ± 10.96 | 0.028 | 0.641 |
Heart rate, beats/min | 75.18 ± 12.75 | 74.56 ± 12.79 | 74.59 ± 12.84 | 74.95 ± 13.32 | 76.63 ± 12.04 | 0.461 | 0.165 |
Hemoglobin, g/L | 127.94 ± 18.45 | 123.67 ± 17.78 | 128.25 ± 18.79 | 131.00 ± 15.87 | 128.85 ± 20.48 | 0.006 | 0.007 |
Platelet, 109/L | 191.09 ± 60.34 | 186.98 ± 64.69 | 190.28 ± 57.98 | 185.75 ± 53.29 | 201.43 ± 64.02 | 0.106 | 0.083 |
Albumin, g/L | 40.18 ± 4.03 | 39.03 ± 3.79 | 40.11 ± 3.81 | 41.11 ± 3.90 | 40.49 ± 4.36 | < 0.001 | < 0.001 |
Uric acid, µmol/L | 413.19 ± 138.37 | 417.36 ± 124.84 | 397.76 ± 112.44 | 394.94 ± 136.51 | 442.81 ± 169.32 | 0.011 | 0.155 |
ABG, mmol/L | 6.26 ± 1.99 | 5.18 ± 1.02 | 5.55 ± 0.95 | 6.04 ± 1.23 | 8.29 ± 2.58 | < 0.001 | < 0.001 |
HbA1C, % | 6.25 ± 0.95 | 6.60 ± 1.05 | 6.17 ± 0.78 | 6.02 ± 0.88 | 6.21 ± 0.97 | < 0.001 | < 0.001 |
HbA1C, mmol/mol | 44.79 ± 10.34 | 48.66 ± 11.49 | 43.89 ± 8.51 | 42.25 ± 9.57 | 44.35 ± 10.55 | < 0.001 | < 0.001 |
eGFR, ml/min/1.73m2 | 62.99 ± 17.90 | 61.10 ± 19.73 | 63.77 ± 15.88 | 64.83 ± 17.42 | 62.24 ± 18.30 | 0.296 | 0.497 |
Hs-CRP*, mg/L | 1.71 (0.98–4.46) | 1.77 (1.00–4.54) | 1.67 (1.00–3.81) | 1.64 (0.87–3.81) | 1.80 (0.89–5.73) | 0.599 | 0.307 |
Lipoprotein (a)*, mg/L | 203.00 (82.68–497.50) | 218.31 (86.58–426.74) | 154.90 (83.90–583.43) | 210.50 (69.74–522.60) | 206.00 (85.60–489.46) | 0.980 | 0.453 |
Triglyceride, mmol/L | 1.30 ± 0.84 | 1.25 ± 0.88 | 1.37 ± 1.15 | 1.26 ± 0.57 | 1.34 ± 0.65 | 0.516 | 0.580 |
Total cholesterol, mmol/L | 4.23 ± 1.11 | 4.20 ± 0.99 | 4.36 ± 1.27 | 4.35 ± 1.09 | 4.00 ± 1.04 | 0.017 | 0.131 |
LDL-C, mmol/L | 2.54 ± 0.96 | 2.57 ± 0.87 | 2.63 ± 1.17 | 2.63 ± 0.93 | 2.35 ± 0.81 | 0.040 | 0.060 |
HDL-C, mmol/L | 1.25 ± 0.38 | 1.22 ± 0.36 | 1.29 ± 0.38 | 1.30 ± 0.38 | 1.20 ± 0.39 | 0.047 | 0.598 |
NT-proBNP*, pg/mL | 2071.50 (837.85–5385.25) | 2084.00 (978.00–5466.75) | 1700.40 (883.90–3374.00) | 1717.00 (626.30–4417.75) | 3315.10 (1170.00–6817.00) | 0.002 | 0.085 |
cTnI ratio* | 0.74 (0.38–1.50) | 0.76 (0.44–1.32) | 0.74 (0.32–1.52) | 0.65 (0.31–1.31) | 0.82 (0.49–2.21) | 0.076 | 0.082 |
LVEF, % | 54.96 ± 13.78 | 54.04 ± 14.95 | 57.14 ± 11.97 | 56.99 ± 13.09 | 51.66 ± 14.30 | 0.001 | 0.158 |
Left atrial diameter, mm | 41.93 ± 6.26 | 42.12 ± 6.34 | 41.47 ± 5.44 | 41.03 ± 6.78 | 43.10 ± 6.28 | 0.029 | 0.699 |
Left ventricular diastolic diameter, mm | 51.61 ± 8.18 | 52.30 ± 9.03 | 51.08 ± 6.63 | 50.81 ± 8.23 | 52.25 ± 8.58 | 0.267 | 0.538 |
Moderate-to-severe mitral regurgitation, % | 122 (20.96%) | 30 (20.55%) | 24 (16.55%) | 32 (21.92%) | 36 (24.83%) | 0.376 | 0.229 |
Insulin | 39 (27.66%) | 13 (34.21%) | 6 (25.00%) | 4 (15.38%) | 16 (30.19%) | Â | Â |
Periprocedural condition | |||||||
Hospital stay before TAVR, days | 5.00 (3.00–7.75) | 5.00 (3.00–8.00) | 5.00 (3.00–7.00) | 4.00 (2.00–7.00) | 4.00 (2.00–7.00) | 0.007 | 0.120 |
Bioprosthetic heart valve, % | Â | Â | Â | Â | Â | 0.676 | 0.222 |
 Self-expanding valve | 541 (92.96%) | 133 (91.10%) | 134 (92.41%) | 137 (93.84%) | 137 (94.48%) |  |  |
 Balloon-expandable valve | 41 (7.04%) | 13 (8.90%) | 11 (7.59%) | 9 (6.16%) | 8 (5.52%) |  |  |
Access, % | Â | Â | Â | Â | Â | 0.072 | 0.298 |
 Femoral | 561 (96.39%) | 140 (95.89%) | 139 (95.86%) | 139 (95.21%) | 143 (98.62%) |  |  |
 Carotid | 13 (2.23%) | 6 (4.11%) | 4 (2.76%) | 2 (1.37%) | 1 (0.69%) |  |  |
 Aortic | 8 (1.37%) | 0 (0.00%) | 2 (1.38%) | 5 (3.42%) | 1 (0.69%) |  |  |
Anesthesia, % | Â | Â | Â | Â | Â | 0.266 | 0.085 |
 Local/conscious sedation | 348 (59.79%) | 96 (65.75%) | 85 (58.62%) | 88 (60.27%) | 79 (54.48%) |  |  |
 General anesthesia | 234 (40.21%) | 50 (34.25%) | 60 (41.38%) | 58 (39.73%) | 66 (45.52%) |  |  |
Second valve implantation, % | 66 (11.34%) | 15 (10.27%) | 15 (10.34%) | 13 (8.90%) | 23 (15.86%) | 0.249 | 0.194 |
Pre-dilatation*, % | 541 (92.96%) | 130 (89.66%) | 132 (91.03%) | 141 (96.58%) | 137 (94.48%) | 0.084 | 0.054 |
Post-dilatation*, % | 102 (17.53%) | 18 (12.41%) | 19 (13.10%) | 36 (24.66%) | 29 (20.00%) | 0.016 | 0.010 |
Concomitant percutaneous coronary intervention, % | 91 (15.64%) | 22 (15.07%) | 20 (13.79%) | 19 (13.01%) | 30 (20.69%) | 0.264 | 0.234 |
Post-procedure mean gradient*, mmHg | 12.34 ± 5.72 | 12.60 ± 6.74 | 12.13 ± 5.13 | 13.14 ± 5.76 | 12.19 ± 6.27 | 0.505 | 0.944 |
Moderate-to-severe perivalvular leakage*, % | 16 (2.75%) | 3 (2.11%) | 2 (1.42%) | 4 (2.78%) | 7 (4.83%) | 0.305 | 0.194 |
Permanent pace maker implantation, % | 43 (7.39%) | 16 (10.96%) | 10 (6.90%) | 11 (7.53%) | 6 (4.14%) | 0.171 | 0.041 |
Medication | |||||||
ACEI/ARB, % | 118 (20.27%) | 31 (21.23%) | 30 (20.69%) | 31 (21.23%) | 26 (17.93%) | 0.879 | 0.531 |
β-blocker, % | 410 (70.45%) | 100 (68.49%) | 98 (67.59%) | 104 (71.23%) | 108 (74.48%) | 0.569 | 0.202 |
Aspirin, % | 433 (74.40%) | 100 (68.49%) | 108 (74.48%) | 116 (79.45%) | 109 (75.17%) | 0.197 | 0.121 |
P2Y12 inhibitor, % | 471 (80.93%) | 119 (81.51%) | 119 (82.07%) | 118 (80.82%) | 115 (79.31%) | 0.940 | 0.592 |
Anticoagulant, % | 49 (8.42%) | 13 (8.90%) | 11 (7.59%) | 16 (10.96%) | 9 (6.21%) | 0.509 | 0.892 |
Statin, % | 439 (75.43%) | 105 (71.92%) | 115 (79.31%) | 112 (76.71%) | 107 (73.79%) | 0.923 | 0.477 |
Glucose-lowering therapy, % | Â | Â | Â | Â | Â | 0.625 | 0.491 |
 Diet control | 11 (7.80%) | 3 (7.89%) | 2 (8.33%) | 1 (3.85%) | 5 (9.43%) |  |  |
 Oral hypoglycemic drugs | 91 (64.54%) | 22 (57.89%) | 16 (66.67%) | 21 (80.77%) | 32 (60.38%) |  |  |