The baseline characteristic and outcome of patients with mitral regurgitation improvement as compared with those with not changed or worsened mitral regurgitation after 12 months of cardiac resynchronization therapy
. | MR improvement ≥1° at 12 months (n= 227) . | P value (within group) . | No change in MR at 12 months (n= 219) . | P value (within group) . | MR worsening ≥1° at 12 months (n= 60) . | P value (within group) . | P value (between groups) . |
---|---|---|---|---|---|---|---|
Prevalence of CAD | 36% | 36% | 42% | 0.581 | |||
MR at baseline | |||||||
Mild/moderate | 101/308 (33%) | 159/308 (52%) | 48/308 (16%) | <0.0001 | |||
Advanced (MR 3–4) | 126/199 (63%) | 61/199 (31%) | 12/199 (6%) | <0.001 | |||
NYHA class | |||||||
Baseline | 3.04 ± 0.49 | <0.001 | 2.96 ± 0.52 | <0.001 | 2.96 ± 0.49 | <0.001 | 0.348 |
12 month | 2.29 ± 0.64 | 2.35 ± 0.65 | 2.54 ± 0.63 | 0.054 | |||
QRS (ms) | |||||||
Baseline | 161 ± 35 | <0.001 | 162 ± 32 | <0.0001 | 162 ± 37 | 0.012 | 0.986 |
12 month | 141 ± 23 | 144 ± 21 | 147 ± 40 | 0.283 | |||
LVEDD (mm/m) | |||||||
Baseline | 69 ± 10 | 0.032 | 68 ± 11 | <0.0001 | 70 ± 10 | <0.001 | 0.321 |
12 month | 58 ± 22 | 59 ± 23 | 66 ± 17 | 0.032 | |||
LVESD (mm/m) | |||||||
Baseline | 56 ± 11 | 0.089 | 55 ± 11 | <0.0001 | 59 ± 12 | <0.001 | 0.288 |
12 month | 42 ± 21 | 45 ± 21 | 53 ± 18 | 0.204 | |||
LVEF (%) | |||||||
Baseline | 24 ± 8 | <0.001 | 24 ± 7 | <0.0001 | 23 ± 7 | 0.388 | 0.283 |
12 month | 30 ± 11 | 29 ± 12 | 23 ± 8 | 0.001 | |||
LA area (mm2) | |||||||
Baseline | 48 ± 8 | 0.005 | 47 ± 9 | 0.777 | 48 ± 7 | 1.000 | 0.343 |
12 month | 46 ± 8 | 47 ± 7 | 49 ± 7 | 0.073 | |||
RV dilatation | |||||||
Baseline | 29% | 32% | 32% | 0.969 | |||
12 month | 26% | 32% | 42% | 0.714 | |||
RV dysfunction—mild/moderate: | |||||||
Baseline | 45% | 41% | 35% | 0.004 | |||
12 month | 30% | 38% | 45% | 0.806 | |||
RV dysfunction—Severe | |||||||
Baseline | 07% | 04% | 15% | 0.002 | |||
12 month | 06% | 06% | 13% | 0.526 | |||
Atrial fibrillation—paroxysmal: | |||||||
Baseline | 65% | 62% | 56% | 0.032 | |||
12 month | 69% | 63% | 54% | 0.025 | |||
Atrial fibrillation—LSPersistent | |||||||
Baseline | 35% | 38% | 44% | 0.024 | |||
12 month | 31% | 37% | 46% | 0.085 |
. | MR improvement ≥1° at 12 months (n= 227) . | P value (within group) . | No change in MR at 12 months (n= 219) . | P value (within group) . | MR worsening ≥1° at 12 months (n= 60) . | P value (within group) . | P value (between groups) . |
---|---|---|---|---|---|---|---|
Prevalence of CAD | 36% | 36% | 42% | 0.581 | |||
MR at baseline | |||||||
Mild/moderate | 101/308 (33%) | 159/308 (52%) | 48/308 (16%) | <0.0001 | |||
Advanced (MR 3–4) | 126/199 (63%) | 61/199 (31%) | 12/199 (6%) | <0.001 | |||
NYHA class | |||||||
Baseline | 3.04 ± 0.49 | <0.001 | 2.96 ± 0.52 | <0.001 | 2.96 ± 0.49 | <0.001 | 0.348 |
12 month | 2.29 ± 0.64 | 2.35 ± 0.65 | 2.54 ± 0.63 | 0.054 | |||
QRS (ms) | |||||||
Baseline | 161 ± 35 | <0.001 | 162 ± 32 | <0.0001 | 162 ± 37 | 0.012 | 0.986 |
12 month | 141 ± 23 | 144 ± 21 | 147 ± 40 | 0.283 | |||
LVEDD (mm/m) | |||||||
Baseline | 69 ± 10 | 0.032 | 68 ± 11 | <0.0001 | 70 ± 10 | <0.001 | 0.321 |
12 month | 58 ± 22 | 59 ± 23 | 66 ± 17 | 0.032 | |||
LVESD (mm/m) | |||||||
Baseline | 56 ± 11 | 0.089 | 55 ± 11 | <0.0001 | 59 ± 12 | <0.001 | 0.288 |
12 month | 42 ± 21 | 45 ± 21 | 53 ± 18 | 0.204 | |||
LVEF (%) | |||||||
Baseline | 24 ± 8 | <0.001 | 24 ± 7 | <0.0001 | 23 ± 7 | 0.388 | 0.283 |
12 month | 30 ± 11 | 29 ± 12 | 23 ± 8 | 0.001 | |||
LA area (mm2) | |||||||
Baseline | 48 ± 8 | 0.005 | 47 ± 9 | 0.777 | 48 ± 7 | 1.000 | 0.343 |
12 month | 46 ± 8 | 47 ± 7 | 49 ± 7 | 0.073 | |||
RV dilatation | |||||||
Baseline | 29% | 32% | 32% | 0.969 | |||
12 month | 26% | 32% | 42% | 0.714 | |||
RV dysfunction—mild/moderate: | |||||||
Baseline | 45% | 41% | 35% | 0.004 | |||
12 month | 30% | 38% | 45% | 0.806 | |||
RV dysfunction—Severe | |||||||
Baseline | 07% | 04% | 15% | 0.002 | |||
12 month | 06% | 06% | 13% | 0.526 | |||
Atrial fibrillation—paroxysmal: | |||||||
Baseline | 65% | 62% | 56% | 0.032 | |||
12 month | 69% | 63% | 54% | 0.025 | |||
Atrial fibrillation—LSPersistent | |||||||
Baseline | 35% | 38% | 44% | 0.024 | |||
12 month | 31% | 37% | 46% | 0.085 |
Abbreviations as in Tables 1 and 2.
The baseline characteristic and outcome of patients with mitral regurgitation improvement as compared with those with not changed or worsened mitral regurgitation after 12 months of cardiac resynchronization therapy
. | MR improvement ≥1° at 12 months (n= 227) . | P value (within group) . | No change in MR at 12 months (n= 219) . | P value (within group) . | MR worsening ≥1° at 12 months (n= 60) . | P value (within group) . | P value (between groups) . |
---|---|---|---|---|---|---|---|
Prevalence of CAD | 36% | 36% | 42% | 0.581 | |||
MR at baseline | |||||||
Mild/moderate | 101/308 (33%) | 159/308 (52%) | 48/308 (16%) | <0.0001 | |||
Advanced (MR 3–4) | 126/199 (63%) | 61/199 (31%) | 12/199 (6%) | <0.001 | |||
NYHA class | |||||||
Baseline | 3.04 ± 0.49 | <0.001 | 2.96 ± 0.52 | <0.001 | 2.96 ± 0.49 | <0.001 | 0.348 |
12 month | 2.29 ± 0.64 | 2.35 ± 0.65 | 2.54 ± 0.63 | 0.054 | |||
QRS (ms) | |||||||
Baseline | 161 ± 35 | <0.001 | 162 ± 32 | <0.0001 | 162 ± 37 | 0.012 | 0.986 |
12 month | 141 ± 23 | 144 ± 21 | 147 ± 40 | 0.283 | |||
LVEDD (mm/m) | |||||||
Baseline | 69 ± 10 | 0.032 | 68 ± 11 | <0.0001 | 70 ± 10 | <0.001 | 0.321 |
12 month | 58 ± 22 | 59 ± 23 | 66 ± 17 | 0.032 | |||
LVESD (mm/m) | |||||||
Baseline | 56 ± 11 | 0.089 | 55 ± 11 | <0.0001 | 59 ± 12 | <0.001 | 0.288 |
12 month | 42 ± 21 | 45 ± 21 | 53 ± 18 | 0.204 | |||
LVEF (%) | |||||||
Baseline | 24 ± 8 | <0.001 | 24 ± 7 | <0.0001 | 23 ± 7 | 0.388 | 0.283 |
12 month | 30 ± 11 | 29 ± 12 | 23 ± 8 | 0.001 | |||
LA area (mm2) | |||||||
Baseline | 48 ± 8 | 0.005 | 47 ± 9 | 0.777 | 48 ± 7 | 1.000 | 0.343 |
12 month | 46 ± 8 | 47 ± 7 | 49 ± 7 | 0.073 | |||
RV dilatation | |||||||
Baseline | 29% | 32% | 32% | 0.969 | |||
12 month | 26% | 32% | 42% | 0.714 | |||
RV dysfunction—mild/moderate: | |||||||
Baseline | 45% | 41% | 35% | 0.004 | |||
12 month | 30% | 38% | 45% | 0.806 | |||
RV dysfunction—Severe | |||||||
Baseline | 07% | 04% | 15% | 0.002 | |||
12 month | 06% | 06% | 13% | 0.526 | |||
Atrial fibrillation—paroxysmal: | |||||||
Baseline | 65% | 62% | 56% | 0.032 | |||
12 month | 69% | 63% | 54% | 0.025 | |||
Atrial fibrillation—LSPersistent | |||||||
Baseline | 35% | 38% | 44% | 0.024 | |||
12 month | 31% | 37% | 46% | 0.085 |
. | MR improvement ≥1° at 12 months (n= 227) . | P value (within group) . | No change in MR at 12 months (n= 219) . | P value (within group) . | MR worsening ≥1° at 12 months (n= 60) . | P value (within group) . | P value (between groups) . |
---|---|---|---|---|---|---|---|
Prevalence of CAD | 36% | 36% | 42% | 0.581 | |||
MR at baseline | |||||||
Mild/moderate | 101/308 (33%) | 159/308 (52%) | 48/308 (16%) | <0.0001 | |||
Advanced (MR 3–4) | 126/199 (63%) | 61/199 (31%) | 12/199 (6%) | <0.001 | |||
NYHA class | |||||||
Baseline | 3.04 ± 0.49 | <0.001 | 2.96 ± 0.52 | <0.001 | 2.96 ± 0.49 | <0.001 | 0.348 |
12 month | 2.29 ± 0.64 | 2.35 ± 0.65 | 2.54 ± 0.63 | 0.054 | |||
QRS (ms) | |||||||
Baseline | 161 ± 35 | <0.001 | 162 ± 32 | <0.0001 | 162 ± 37 | 0.012 | 0.986 |
12 month | 141 ± 23 | 144 ± 21 | 147 ± 40 | 0.283 | |||
LVEDD (mm/m) | |||||||
Baseline | 69 ± 10 | 0.032 | 68 ± 11 | <0.0001 | 70 ± 10 | <0.001 | 0.321 |
12 month | 58 ± 22 | 59 ± 23 | 66 ± 17 | 0.032 | |||
LVESD (mm/m) | |||||||
Baseline | 56 ± 11 | 0.089 | 55 ± 11 | <0.0001 | 59 ± 12 | <0.001 | 0.288 |
12 month | 42 ± 21 | 45 ± 21 | 53 ± 18 | 0.204 | |||
LVEF (%) | |||||||
Baseline | 24 ± 8 | <0.001 | 24 ± 7 | <0.0001 | 23 ± 7 | 0.388 | 0.283 |
12 month | 30 ± 11 | 29 ± 12 | 23 ± 8 | 0.001 | |||
LA area (mm2) | |||||||
Baseline | 48 ± 8 | 0.005 | 47 ± 9 | 0.777 | 48 ± 7 | 1.000 | 0.343 |
12 month | 46 ± 8 | 47 ± 7 | 49 ± 7 | 0.073 | |||
RV dilatation | |||||||
Baseline | 29% | 32% | 32% | 0.969 | |||
12 month | 26% | 32% | 42% | 0.714 | |||
RV dysfunction—mild/moderate: | |||||||
Baseline | 45% | 41% | 35% | 0.004 | |||
12 month | 30% | 38% | 45% | 0.806 | |||
RV dysfunction—Severe | |||||||
Baseline | 07% | 04% | 15% | 0.002 | |||
12 month | 06% | 06% | 13% | 0.526 | |||
Atrial fibrillation—paroxysmal: | |||||||
Baseline | 65% | 62% | 56% | 0.032 | |||
12 month | 69% | 63% | 54% | 0.025 | |||
Atrial fibrillation—LSPersistent | |||||||
Baseline | 35% | 38% | 44% | 0.024 | |||
12 month | 31% | 37% | 46% | 0.085 |
Abbreviations as in Tables 1 and 2.
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