Table 1:

Distribution of patients by stage

Stage 1 N = 0 (0%)Stage 2 N = 27 (15.7%)Stage 3 N = 80 (46.5%)Stage 4 N = 62 (36%)Stage 5 N = 3 (1.7%)P-value
Surgery
 TVR7 (5.4%)67 (51.9%)52 (40.3%)3 (2.3%)
 TVr20 (46.5%)13 (30.2%)10 (23.3%)0 (0%)
Preop characteristics
 Age (years)48 (28–64)68 (58–75)70 (63–76)75 (68–79)<0.001
 Sex (Female)13 (48%)51 (64%)46 (74%)2 (67%)0.107
 NYHA III–IV5 (19%)44 (55.5%)55 (89%)3 (100%)<0.001
 AFib7 (26%)53 (66%)54 (87%)2 (67%)<0.001
 CKD0 (0%)15 (19%)21 (34%)3 (100%)<0.001
 eGFR (ml/min)94 (77–138)66 (49–90)52 (37–69)28 (27.6–28)<0.001
 Bilirubin (mg/dl)0.8 (0.5–1.3)0.9 (0.6–1.5)1.1 (0.8–1.4)0.7 (0.3–1)0.083
 Albumin62 (59–63)58 (54–61)57 (52–59)54 (45–58)<0.001
 AST (U/l)22 (18–29)27 (22–38)30 (24–39)19 (15–26)0.004
 ALT (U/l)26 (17–29)22 (18–29)22 (14–27)12 (9–14)0.060
 Ascites0 (0%)3 (3.8%)31 (50%)3 (100%)<0.001
 Diuretics dose (mg)0 (0–16.25)25 (0–50)100 (50–175)375 (125–500)<0.001
 RHF hospitalization0 (0%)8 (10%)48 (77%)3 (100%)<0.001
 REDO7 (26%)42 (53%)47 (76%)3 (100%)<0.001
Preop TOE parameters
 LVEDD (mm)45.3 ± 6.1846.6 ± 5.1748.5 ± 7.5759 ± 10.54<0.001
 LVEF (%)60 (60–63)60 (57–62)55 (51–60)60 (50–60)0.003
 sPAP (mmHg)35 (30–40)40 (35–50)40 (35–50)43 (38–50)<0.001
 TAPSE (mm)26.2 ± 3.7121.4 ± 5.5618 ± 4.54170.001
 TDI (m/s)12 (10–16)11 (10–13)9.4 (8–10)NA0.001
Stage 1 N = 0 (0%)Stage 2 N = 27 (15.7%)Stage 3 N = 80 (46.5%)Stage 4 N = 62 (36%)Stage 5 N = 3 (1.7%)P-value
Surgery
 TVR7 (5.4%)67 (51.9%)52 (40.3%)3 (2.3%)
 TVr20 (46.5%)13 (30.2%)10 (23.3%)0 (0%)
Preop characteristics
 Age (years)48 (28–64)68 (58–75)70 (63–76)75 (68–79)<0.001
 Sex (Female)13 (48%)51 (64%)46 (74%)2 (67%)0.107
 NYHA III–IV5 (19%)44 (55.5%)55 (89%)3 (100%)<0.001
 AFib7 (26%)53 (66%)54 (87%)2 (67%)<0.001
 CKD0 (0%)15 (19%)21 (34%)3 (100%)<0.001
 eGFR (ml/min)94 (77–138)66 (49–90)52 (37–69)28 (27.6–28)<0.001
 Bilirubin (mg/dl)0.8 (0.5–1.3)0.9 (0.6–1.5)1.1 (0.8–1.4)0.7 (0.3–1)0.083
 Albumin62 (59–63)58 (54–61)57 (52–59)54 (45–58)<0.001
 AST (U/l)22 (18–29)27 (22–38)30 (24–39)19 (15–26)0.004
 ALT (U/l)26 (17–29)22 (18–29)22 (14–27)12 (9–14)0.060
 Ascites0 (0%)3 (3.8%)31 (50%)3 (100%)<0.001
 Diuretics dose (mg)0 (0–16.25)25 (0–50)100 (50–175)375 (125–500)<0.001
 RHF hospitalization0 (0%)8 (10%)48 (77%)3 (100%)<0.001
 REDO7 (26%)42 (53%)47 (76%)3 (100%)<0.001
Preop TOE parameters
 LVEDD (mm)45.3 ± 6.1846.6 ± 5.1748.5 ± 7.5759 ± 10.54<0.001
 LVEF (%)60 (60–63)60 (57–62)55 (51–60)60 (50–60)0.003
 sPAP (mmHg)35 (30–40)40 (35–50)40 (35–50)43 (38–50)<0.001
 TAPSE (mm)26.2 ± 3.7121.4 ± 5.5618 ± 4.54170.001
 TDI (m/s)12 (10–16)11 (10–13)9.4 (8–10)NA0.001

AFib: atrial fibrillation; ALT: alanine aminotransferase; AST: aspartate aminotransferase; CKD: chronic kidney disease; eGFR: estimated glomerular filtration rate; LVEDD: left ventricular end-diastolic diameter; LVEF: left ventricular ejection fraction; NYHA: New York Heart Association; preop: preoperative; RHF: right heart failure; sPAP: systolic pulmonary artery pressure; TAPSE: tricuspid annular plane systolic excursion; TDI: tissue Doppler imaging; TOE: transoesophageal echocardiography; TVr: tricuspid valve repair; TVR: tricuspid valve replacement.

Table 1:

Distribution of patients by stage

Stage 1 N = 0 (0%)Stage 2 N = 27 (15.7%)Stage 3 N = 80 (46.5%)Stage 4 N = 62 (36%)Stage 5 N = 3 (1.7%)P-value
Surgery
 TVR7 (5.4%)67 (51.9%)52 (40.3%)3 (2.3%)
 TVr20 (46.5%)13 (30.2%)10 (23.3%)0 (0%)
Preop characteristics
 Age (years)48 (28–64)68 (58–75)70 (63–76)75 (68–79)<0.001
 Sex (Female)13 (48%)51 (64%)46 (74%)2 (67%)0.107
 NYHA III–IV5 (19%)44 (55.5%)55 (89%)3 (100%)<0.001
 AFib7 (26%)53 (66%)54 (87%)2 (67%)<0.001
 CKD0 (0%)15 (19%)21 (34%)3 (100%)<0.001
 eGFR (ml/min)94 (77–138)66 (49–90)52 (37–69)28 (27.6–28)<0.001
 Bilirubin (mg/dl)0.8 (0.5–1.3)0.9 (0.6–1.5)1.1 (0.8–1.4)0.7 (0.3–1)0.083
 Albumin62 (59–63)58 (54–61)57 (52–59)54 (45–58)<0.001
 AST (U/l)22 (18–29)27 (22–38)30 (24–39)19 (15–26)0.004
 ALT (U/l)26 (17–29)22 (18–29)22 (14–27)12 (9–14)0.060
 Ascites0 (0%)3 (3.8%)31 (50%)3 (100%)<0.001
 Diuretics dose (mg)0 (0–16.25)25 (0–50)100 (50–175)375 (125–500)<0.001
 RHF hospitalization0 (0%)8 (10%)48 (77%)3 (100%)<0.001
 REDO7 (26%)42 (53%)47 (76%)3 (100%)<0.001
Preop TOE parameters
 LVEDD (mm)45.3 ± 6.1846.6 ± 5.1748.5 ± 7.5759 ± 10.54<0.001
 LVEF (%)60 (60–63)60 (57–62)55 (51–60)60 (50–60)0.003
 sPAP (mmHg)35 (30–40)40 (35–50)40 (35–50)43 (38–50)<0.001
 TAPSE (mm)26.2 ± 3.7121.4 ± 5.5618 ± 4.54170.001
 TDI (m/s)12 (10–16)11 (10–13)9.4 (8–10)NA0.001
Stage 1 N = 0 (0%)Stage 2 N = 27 (15.7%)Stage 3 N = 80 (46.5%)Stage 4 N = 62 (36%)Stage 5 N = 3 (1.7%)P-value
Surgery
 TVR7 (5.4%)67 (51.9%)52 (40.3%)3 (2.3%)
 TVr20 (46.5%)13 (30.2%)10 (23.3%)0 (0%)
Preop characteristics
 Age (years)48 (28–64)68 (58–75)70 (63–76)75 (68–79)<0.001
 Sex (Female)13 (48%)51 (64%)46 (74%)2 (67%)0.107
 NYHA III–IV5 (19%)44 (55.5%)55 (89%)3 (100%)<0.001
 AFib7 (26%)53 (66%)54 (87%)2 (67%)<0.001
 CKD0 (0%)15 (19%)21 (34%)3 (100%)<0.001
 eGFR (ml/min)94 (77–138)66 (49–90)52 (37–69)28 (27.6–28)<0.001
 Bilirubin (mg/dl)0.8 (0.5–1.3)0.9 (0.6–1.5)1.1 (0.8–1.4)0.7 (0.3–1)0.083
 Albumin62 (59–63)58 (54–61)57 (52–59)54 (45–58)<0.001
 AST (U/l)22 (18–29)27 (22–38)30 (24–39)19 (15–26)0.004
 ALT (U/l)26 (17–29)22 (18–29)22 (14–27)12 (9–14)0.060
 Ascites0 (0%)3 (3.8%)31 (50%)3 (100%)<0.001
 Diuretics dose (mg)0 (0–16.25)25 (0–50)100 (50–175)375 (125–500)<0.001
 RHF hospitalization0 (0%)8 (10%)48 (77%)3 (100%)<0.001
 REDO7 (26%)42 (53%)47 (76%)3 (100%)<0.001
Preop TOE parameters
 LVEDD (mm)45.3 ± 6.1846.6 ± 5.1748.5 ± 7.5759 ± 10.54<0.001
 LVEF (%)60 (60–63)60 (57–62)55 (51–60)60 (50–60)0.003
 sPAP (mmHg)35 (30–40)40 (35–50)40 (35–50)43 (38–50)<0.001
 TAPSE (mm)26.2 ± 3.7121.4 ± 5.5618 ± 4.54170.001
 TDI (m/s)12 (10–16)11 (10–13)9.4 (8–10)NA0.001

AFib: atrial fibrillation; ALT: alanine aminotransferase; AST: aspartate aminotransferase; CKD: chronic kidney disease; eGFR: estimated glomerular filtration rate; LVEDD: left ventricular end-diastolic diameter; LVEF: left ventricular ejection fraction; NYHA: New York Heart Association; preop: preoperative; RHF: right heart failure; sPAP: systolic pulmonary artery pressure; TAPSE: tricuspid annular plane systolic excursion; TDI: tissue Doppler imaging; TOE: transoesophageal echocardiography; TVr: tricuspid valve repair; TVR: tricuspid valve replacement.

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