. | Total, n = 86 . | RA alone, n = 51 . | Plus PMR-A, n = 24 . | Plus PMR-P, n = 11 . | P-Value . |
---|---|---|---|---|---|
Baseline characteristics | |||||
Age (years) | 68.0 ± 8.0 | 69.0 ± 7.2 | 67.9 ± 8.0 | 63.2 ± 10.3 | 0.087 |
Sex: male | 69 (80) | 44 (86) | 15 (63) | 10 (91) | 0.035 |
Height (cm) | 162 ± 9 | 161 ± 7 | 162 ± 11 | 164 ± 7 | 0.655 |
Weight (kg) | 59.3 ± 11.9 | 60.1 ± 12.2 | 56.3 ± 12.0 | 62.1 ± 9.3 | 0.306 |
Hypertension | 34 (40) | 24 (47) | 7 (29) | 3 (27) | 0.225 |
Diabetes | 39 (45) | 29 (57) | 6 (25) | 4 (36) | 0.029 |
eGFR (ml/min/1.73 m2) | 47.6 ± 21.3 | 50.8 ± 19.9 | 43.9 ± 22.3 | 41.4 ± 25.0 | 0.254 |
Haemodialysis | 7 (8) | 3 (6) | 3 (13) | 1 (9) | 0.615 |
BNP (pg/ml) | 830 ± 1042 | 694 ± 833 | 1088 ± 1443 | 897 ± 851 | 0.307 |
Ischaemic aetiology | 64 (74) | 49 (96) | 7 (29) | 8 (73) | <0.001 |
Atrial fibrillation | 26 (30) | 13 (26) | 9 (38) | 4 (36) | 0.512 |
NYHA III or IV | 61 (71) | 32 (63) | 20 (83) | 9 (82) | 0.130 |
Echocardiography | |||||
LVDd (mm) | 65.8 ± 8.2 | 64.5 ± 8.1 | 66.6 ± 7.4 | 70.3 ± 9.5 | 0.091 |
LVDs (mm) | 53.5 ± 11.0 | 50.4 ± 11.1 | 57.2 ± 8.3 | 60.0 ± 11.1 | 0.004 |
LVEDV (ml) | 220 ± 71 | 205 ± 71 | 231 ± 58 | 263 ± 81 | 0.030 |
LVEF () | 35.9 ± 10.7 | 38.9 ± 11.8 | 31.6 ± 7.5 | 31.6 ± 7.2 | 0.008 |
MR mild | 4 (5) | 4 (8) | 0 (0) | 0 (0) | 0.001 |
MR moderate | 24 (28) | 22 (43) | 1 (4) | 1 (9) | |
MR severe | 58 (67) | 25 (49) | 23 (96) | 10 (91) | |
Tenting height (mm) | 9.1 ± 2.9 | 7.9 ± 2.7 | 10.4 ± 2.0 | 11.5 ± 2.1 | <0.001 |
Tenting area (cm2) | 1.61 ± 0.65 | 1.41 ± 0.63 | 1.89 ± 0.58 | 1.85 ± 0.59 | 0.008 |
ALOA (°) | 57.6 ± 13.2 | 59.9 ± 13.0 | 55.7 ± 12.7 | 52.9 ± 14.4 | 0.206 |
ALCA (°) | 26.1 ± 10.1 | 24.3 ± 10.5 | 29.9 ± 9.8 | 25.7 ± 7.4 | 0.104 |
PLOA (°) | 77.2 ± 18.9 | 78.3 ± 21.3 | 75.5 ± 14.3 | 76.7 ± 18.3 | 0.852 |
PLCA (°) | 51.5 ± 14.6 | 48.2 ± 15.2 | 53.9 ± 13.4 | 59.9 ± 11.0 | 0.037 |
Surgical procedures | |||||
Ring size (mm) | 27.3 ± 1.9 | 26.9 ± 2.5 | 28.6 ± 2.5 | 26.3 ± 1.5 | <0.001 |
CABG | 58 (67) | 43 (84) | 7 (29) | 8 (73) | <0.001 |
Maze | 15 (17) | 5 (10) | 7 (29) | 3 (27) | 0.078 |
Tricuspid valve surgery | 26 (30) | 11 (22) | 12 (50) | 3 (27) | 0.043 |
. | Total, n = 86 . | RA alone, n = 51 . | Plus PMR-A, n = 24 . | Plus PMR-P, n = 11 . | P-Value . |
---|---|---|---|---|---|
Baseline characteristics | |||||
Age (years) | 68.0 ± 8.0 | 69.0 ± 7.2 | 67.9 ± 8.0 | 63.2 ± 10.3 | 0.087 |
Sex: male | 69 (80) | 44 (86) | 15 (63) | 10 (91) | 0.035 |
Height (cm) | 162 ± 9 | 161 ± 7 | 162 ± 11 | 164 ± 7 | 0.655 |
Weight (kg) | 59.3 ± 11.9 | 60.1 ± 12.2 | 56.3 ± 12.0 | 62.1 ± 9.3 | 0.306 |
Hypertension | 34 (40) | 24 (47) | 7 (29) | 3 (27) | 0.225 |
Diabetes | 39 (45) | 29 (57) | 6 (25) | 4 (36) | 0.029 |
eGFR (ml/min/1.73 m2) | 47.6 ± 21.3 | 50.8 ± 19.9 | 43.9 ± 22.3 | 41.4 ± 25.0 | 0.254 |
Haemodialysis | 7 (8) | 3 (6) | 3 (13) | 1 (9) | 0.615 |
BNP (pg/ml) | 830 ± 1042 | 694 ± 833 | 1088 ± 1443 | 897 ± 851 | 0.307 |
Ischaemic aetiology | 64 (74) | 49 (96) | 7 (29) | 8 (73) | <0.001 |
Atrial fibrillation | 26 (30) | 13 (26) | 9 (38) | 4 (36) | 0.512 |
NYHA III or IV | 61 (71) | 32 (63) | 20 (83) | 9 (82) | 0.130 |
Echocardiography | |||||
LVDd (mm) | 65.8 ± 8.2 | 64.5 ± 8.1 | 66.6 ± 7.4 | 70.3 ± 9.5 | 0.091 |
LVDs (mm) | 53.5 ± 11.0 | 50.4 ± 11.1 | 57.2 ± 8.3 | 60.0 ± 11.1 | 0.004 |
LVEDV (ml) | 220 ± 71 | 205 ± 71 | 231 ± 58 | 263 ± 81 | 0.030 |
LVEF () | 35.9 ± 10.7 | 38.9 ± 11.8 | 31.6 ± 7.5 | 31.6 ± 7.2 | 0.008 |
MR mild | 4 (5) | 4 (8) | 0 (0) | 0 (0) | 0.001 |
MR moderate | 24 (28) | 22 (43) | 1 (4) | 1 (9) | |
MR severe | 58 (67) | 25 (49) | 23 (96) | 10 (91) | |
Tenting height (mm) | 9.1 ± 2.9 | 7.9 ± 2.7 | 10.4 ± 2.0 | 11.5 ± 2.1 | <0.001 |
Tenting area (cm2) | 1.61 ± 0.65 | 1.41 ± 0.63 | 1.89 ± 0.58 | 1.85 ± 0.59 | 0.008 |
ALOA (°) | 57.6 ± 13.2 | 59.9 ± 13.0 | 55.7 ± 12.7 | 52.9 ± 14.4 | 0.206 |
ALCA (°) | 26.1 ± 10.1 | 24.3 ± 10.5 | 29.9 ± 9.8 | 25.7 ± 7.4 | 0.104 |
PLOA (°) | 77.2 ± 18.9 | 78.3 ± 21.3 | 75.5 ± 14.3 | 76.7 ± 18.3 | 0.852 |
PLCA (°) | 51.5 ± 14.6 | 48.2 ± 15.2 | 53.9 ± 13.4 | 59.9 ± 11.0 | 0.037 |
Surgical procedures | |||||
Ring size (mm) | 27.3 ± 1.9 | 26.9 ± 2.5 | 28.6 ± 2.5 | 26.3 ± 1.5 | <0.001 |
CABG | 58 (67) | 43 (84) | 7 (29) | 8 (73) | <0.001 |
Maze | 15 (17) | 5 (10) | 7 (29) | 3 (27) | 0.078 |
Tricuspid valve surgery | 26 (30) | 11 (22) | 12 (50) | 3 (27) | 0.043 |
Values are presented as mean ± SD or actual values (%).
ALCA: anterior leaflet closing angle; ALOA: anterior leaflet opening angle; BNP: B-type natriuretic peptide; CABG: coronary artery bypass grafting; eGFR: estimated glomerular filtration rate; LVDd: left ventricular end-diastolic diameter; LVDs: left ventricular end-systolic diameter; LVEDV: left ventricular end-diastolic volume; LVEF: left ventricular ejection fraction; MR: mitral regurgitation; NYHA: New York Heart Association functional classification; PLCA: posterior leaflet closing angle; PLOA: posterior leaflet opening angle; PMR-A: papillary muscle relocation anteriorly; PMR-P: papillary muscle relocation posteriorly; RA: restrictive annuloplasty; SD: standard deviation.
. | Total, n = 86 . | RA alone, n = 51 . | Plus PMR-A, n = 24 . | Plus PMR-P, n = 11 . | P-Value . |
---|---|---|---|---|---|
Baseline characteristics | |||||
Age (years) | 68.0 ± 8.0 | 69.0 ± 7.2 | 67.9 ± 8.0 | 63.2 ± 10.3 | 0.087 |
Sex: male | 69 (80) | 44 (86) | 15 (63) | 10 (91) | 0.035 |
Height (cm) | 162 ± 9 | 161 ± 7 | 162 ± 11 | 164 ± 7 | 0.655 |
Weight (kg) | 59.3 ± 11.9 | 60.1 ± 12.2 | 56.3 ± 12.0 | 62.1 ± 9.3 | 0.306 |
Hypertension | 34 (40) | 24 (47) | 7 (29) | 3 (27) | 0.225 |
Diabetes | 39 (45) | 29 (57) | 6 (25) | 4 (36) | 0.029 |
eGFR (ml/min/1.73 m2) | 47.6 ± 21.3 | 50.8 ± 19.9 | 43.9 ± 22.3 | 41.4 ± 25.0 | 0.254 |
Haemodialysis | 7 (8) | 3 (6) | 3 (13) | 1 (9) | 0.615 |
BNP (pg/ml) | 830 ± 1042 | 694 ± 833 | 1088 ± 1443 | 897 ± 851 | 0.307 |
Ischaemic aetiology | 64 (74) | 49 (96) | 7 (29) | 8 (73) | <0.001 |
Atrial fibrillation | 26 (30) | 13 (26) | 9 (38) | 4 (36) | 0.512 |
NYHA III or IV | 61 (71) | 32 (63) | 20 (83) | 9 (82) | 0.130 |
Echocardiography | |||||
LVDd (mm) | 65.8 ± 8.2 | 64.5 ± 8.1 | 66.6 ± 7.4 | 70.3 ± 9.5 | 0.091 |
LVDs (mm) | 53.5 ± 11.0 | 50.4 ± 11.1 | 57.2 ± 8.3 | 60.0 ± 11.1 | 0.004 |
LVEDV (ml) | 220 ± 71 | 205 ± 71 | 231 ± 58 | 263 ± 81 | 0.030 |
LVEF () | 35.9 ± 10.7 | 38.9 ± 11.8 | 31.6 ± 7.5 | 31.6 ± 7.2 | 0.008 |
MR mild | 4 (5) | 4 (8) | 0 (0) | 0 (0) | 0.001 |
MR moderate | 24 (28) | 22 (43) | 1 (4) | 1 (9) | |
MR severe | 58 (67) | 25 (49) | 23 (96) | 10 (91) | |
Tenting height (mm) | 9.1 ± 2.9 | 7.9 ± 2.7 | 10.4 ± 2.0 | 11.5 ± 2.1 | <0.001 |
Tenting area (cm2) | 1.61 ± 0.65 | 1.41 ± 0.63 | 1.89 ± 0.58 | 1.85 ± 0.59 | 0.008 |
ALOA (°) | 57.6 ± 13.2 | 59.9 ± 13.0 | 55.7 ± 12.7 | 52.9 ± 14.4 | 0.206 |
ALCA (°) | 26.1 ± 10.1 | 24.3 ± 10.5 | 29.9 ± 9.8 | 25.7 ± 7.4 | 0.104 |
PLOA (°) | 77.2 ± 18.9 | 78.3 ± 21.3 | 75.5 ± 14.3 | 76.7 ± 18.3 | 0.852 |
PLCA (°) | 51.5 ± 14.6 | 48.2 ± 15.2 | 53.9 ± 13.4 | 59.9 ± 11.0 | 0.037 |
Surgical procedures | |||||
Ring size (mm) | 27.3 ± 1.9 | 26.9 ± 2.5 | 28.6 ± 2.5 | 26.3 ± 1.5 | <0.001 |
CABG | 58 (67) | 43 (84) | 7 (29) | 8 (73) | <0.001 |
Maze | 15 (17) | 5 (10) | 7 (29) | 3 (27) | 0.078 |
Tricuspid valve surgery | 26 (30) | 11 (22) | 12 (50) | 3 (27) | 0.043 |
. | Total, n = 86 . | RA alone, n = 51 . | Plus PMR-A, n = 24 . | Plus PMR-P, n = 11 . | P-Value . |
---|---|---|---|---|---|
Baseline characteristics | |||||
Age (years) | 68.0 ± 8.0 | 69.0 ± 7.2 | 67.9 ± 8.0 | 63.2 ± 10.3 | 0.087 |
Sex: male | 69 (80) | 44 (86) | 15 (63) | 10 (91) | 0.035 |
Height (cm) | 162 ± 9 | 161 ± 7 | 162 ± 11 | 164 ± 7 | 0.655 |
Weight (kg) | 59.3 ± 11.9 | 60.1 ± 12.2 | 56.3 ± 12.0 | 62.1 ± 9.3 | 0.306 |
Hypertension | 34 (40) | 24 (47) | 7 (29) | 3 (27) | 0.225 |
Diabetes | 39 (45) | 29 (57) | 6 (25) | 4 (36) | 0.029 |
eGFR (ml/min/1.73 m2) | 47.6 ± 21.3 | 50.8 ± 19.9 | 43.9 ± 22.3 | 41.4 ± 25.0 | 0.254 |
Haemodialysis | 7 (8) | 3 (6) | 3 (13) | 1 (9) | 0.615 |
BNP (pg/ml) | 830 ± 1042 | 694 ± 833 | 1088 ± 1443 | 897 ± 851 | 0.307 |
Ischaemic aetiology | 64 (74) | 49 (96) | 7 (29) | 8 (73) | <0.001 |
Atrial fibrillation | 26 (30) | 13 (26) | 9 (38) | 4 (36) | 0.512 |
NYHA III or IV | 61 (71) | 32 (63) | 20 (83) | 9 (82) | 0.130 |
Echocardiography | |||||
LVDd (mm) | 65.8 ± 8.2 | 64.5 ± 8.1 | 66.6 ± 7.4 | 70.3 ± 9.5 | 0.091 |
LVDs (mm) | 53.5 ± 11.0 | 50.4 ± 11.1 | 57.2 ± 8.3 | 60.0 ± 11.1 | 0.004 |
LVEDV (ml) | 220 ± 71 | 205 ± 71 | 231 ± 58 | 263 ± 81 | 0.030 |
LVEF () | 35.9 ± 10.7 | 38.9 ± 11.8 | 31.6 ± 7.5 | 31.6 ± 7.2 | 0.008 |
MR mild | 4 (5) | 4 (8) | 0 (0) | 0 (0) | 0.001 |
MR moderate | 24 (28) | 22 (43) | 1 (4) | 1 (9) | |
MR severe | 58 (67) | 25 (49) | 23 (96) | 10 (91) | |
Tenting height (mm) | 9.1 ± 2.9 | 7.9 ± 2.7 | 10.4 ± 2.0 | 11.5 ± 2.1 | <0.001 |
Tenting area (cm2) | 1.61 ± 0.65 | 1.41 ± 0.63 | 1.89 ± 0.58 | 1.85 ± 0.59 | 0.008 |
ALOA (°) | 57.6 ± 13.2 | 59.9 ± 13.0 | 55.7 ± 12.7 | 52.9 ± 14.4 | 0.206 |
ALCA (°) | 26.1 ± 10.1 | 24.3 ± 10.5 | 29.9 ± 9.8 | 25.7 ± 7.4 | 0.104 |
PLOA (°) | 77.2 ± 18.9 | 78.3 ± 21.3 | 75.5 ± 14.3 | 76.7 ± 18.3 | 0.852 |
PLCA (°) | 51.5 ± 14.6 | 48.2 ± 15.2 | 53.9 ± 13.4 | 59.9 ± 11.0 | 0.037 |
Surgical procedures | |||||
Ring size (mm) | 27.3 ± 1.9 | 26.9 ± 2.5 | 28.6 ± 2.5 | 26.3 ± 1.5 | <0.001 |
CABG | 58 (67) | 43 (84) | 7 (29) | 8 (73) | <0.001 |
Maze | 15 (17) | 5 (10) | 7 (29) | 3 (27) | 0.078 |
Tricuspid valve surgery | 26 (30) | 11 (22) | 12 (50) | 3 (27) | 0.043 |
Values are presented as mean ± SD or actual values (%).
ALCA: anterior leaflet closing angle; ALOA: anterior leaflet opening angle; BNP: B-type natriuretic peptide; CABG: coronary artery bypass grafting; eGFR: estimated glomerular filtration rate; LVDd: left ventricular end-diastolic diameter; LVDs: left ventricular end-systolic diameter; LVEDV: left ventricular end-diastolic volume; LVEF: left ventricular ejection fraction; MR: mitral regurgitation; NYHA: New York Heart Association functional classification; PLCA: posterior leaflet closing angle; PLOA: posterior leaflet opening angle; PMR-A: papillary muscle relocation anteriorly; PMR-P: papillary muscle relocation posteriorly; RA: restrictive annuloplasty; SD: standard deviation.
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