Table 2

Baseline characteristics of the patient cohort stratified by mitral regurgitation evolution at 2-month echocardiogram

DemographicsOverall cohort (n = 288)MR stable (n = 156)MR improvement (n = 99)MR worsening (n = 33)P value
Age78 (74–82)77 (72–82)80 (75–83)80 (75–82)0.007
Female172 (60%)103 (66%)51 (51%)18 (55%)0.057
Body mass index25 (22–28)25 (22–28)25 (22–28)25 (22–30)0.957
Previous myocardial infarction42 (15%)20 (13%)18 (18%)4 (12%)0.150
COPD58 (20%)29 (19%)22 (22%)7 (20%)0.784
Euroscore26 (4–11)5 (3–10)6 (4–11)6 (4–11)0.228
Atrial fibrillation152 (53%)88 (56%)45 (45%)19 (57%)0.356
PM/ICD65 (18%)35 (22%)26 (26%)6 (18%)0.099
Chronic kidney disease212 (74%)118 (76%)72 (72%)22 (66%)0.506
Diabetes mellitus72 (25%)36 (23%)27 (27%)9 (27%)0.751
Right heart failure signs
Ascites49 (17%)32 (22%)8 (9%)9 (29%)0.009
Peripheral oedema218 (76%)111 (71%)82 (82%)25 (75%)0.044
Therapy
Baseline anti-RAAS therapy180 (62%)100 (64%)64 (64%)16 (48%)0.209
Baseline beta-blocker therapy244 (85%)128 (82%)91 (91%)25 (75%)0.023
Baseline MRA therapy131 (45%)69 (44%)46 (46%)16 (48%)0.141
Baseline furosemide equivalent dose (mg)81 (±99)80 (±109)74 (±73)108 (±111)0.129
2-month furosemide equivalent dose (mg)67 (± 69)71 (±74)56 (±46)78 (±94)0.294
Echocardiographic data
TR aetiology0.320
 Functional atrial133 (46%)72 (46%)47 (47%)14 (42%)
 Functional ventricular122 (42%)67 (43%)43 (43%)12 (36%)
 CIED16 (6%)10 (6%)2 (2%)4 (12%)
 Organic17 (6%)7 (5%)7 (7%)3 (10%)
LVEF55 (47–60)55 (50–60)52 (42–59)55 (50–60)0.015
LVEF ≤ 30%19 (6%)7 (5%)10 (10%)2 (6%)0.212
LVEDD48 (43–54)48 (43–53)50 (44–55)48 (45–52)0.401
LVEDD > 60 mm26 (9%)12 (6%)12 (15%)2 (6%)0.191
Left atrial volume99 (72–128)94 (70–129)104 (78–128)95 (65–113)0.314
Baseline MR degree<0.001
 039 (14%)28 (18%)011 (34%)
 1126 (44%)98 (63%)10 (10%)18 (56%)
 267 (23%)27 (17%)37 (37%)3 (9%)
 348 (17%)3 (2%)44 (44%)1 (3%)
 48 (3%)08 (8%)0
2-month MR degree<0.001
 043 (14%)28 (18%)15 (15%)0
 1175 (61%)98 (63%)67 (68%)10 (30%)
 262 (22%)27 (17%)17 (17%)18 (55%)
 36 (2%)3 (2%)03 (9%)
 42 (1%)002 (6%)
TAPSE16 (14–20)16 (13–21)16 (14–19)17 (15–21)0.313
TAPSE/sPAP0.40 (0.31–0.6)0.44 (0.30–0.62)0.42 (0.31–0.56)0.45 (0.34–0.60)0.433
TAPSE/sPAP < 0.4100 (35%)53 (40%)37 (42%)10 (38%)0.925
Procedural data
Procedure0.055
 T-TEER242 (84%)129 (83%)87 (88%)26 (78%)
 Annuloplasty18 (6%)10 (6%)5 (5%)3 (9%)
 Spacer12 (4%)9 (6%)3 (3%)0
 TTVR6 (2%)5 (3%)1 (1%)0
 Heterotopic8 (3%)2 (1%)2 (2%)4 (12%)
 Combined2 (1%)1 (1%)1 (1%)0
Acute procedural success246 (85%)128 (82%)92 (97%)26 (78%)0.029
Low cardiac output syndrome5 (1%)4 (2%)1 (1%)00.524
Effective reduction to at least moderate TR215 (75%)112 (72%)82 (83%)21 (63%)0.037
DemographicsOverall cohort (n = 288)MR stable (n = 156)MR improvement (n = 99)MR worsening (n = 33)P value
Age78 (74–82)77 (72–82)80 (75–83)80 (75–82)0.007
Female172 (60%)103 (66%)51 (51%)18 (55%)0.057
Body mass index25 (22–28)25 (22–28)25 (22–28)25 (22–30)0.957
Previous myocardial infarction42 (15%)20 (13%)18 (18%)4 (12%)0.150
COPD58 (20%)29 (19%)22 (22%)7 (20%)0.784
Euroscore26 (4–11)5 (3–10)6 (4–11)6 (4–11)0.228
Atrial fibrillation152 (53%)88 (56%)45 (45%)19 (57%)0.356
PM/ICD65 (18%)35 (22%)26 (26%)6 (18%)0.099
Chronic kidney disease212 (74%)118 (76%)72 (72%)22 (66%)0.506
Diabetes mellitus72 (25%)36 (23%)27 (27%)9 (27%)0.751
Right heart failure signs
Ascites49 (17%)32 (22%)8 (9%)9 (29%)0.009
Peripheral oedema218 (76%)111 (71%)82 (82%)25 (75%)0.044
Therapy
Baseline anti-RAAS therapy180 (62%)100 (64%)64 (64%)16 (48%)0.209
Baseline beta-blocker therapy244 (85%)128 (82%)91 (91%)25 (75%)0.023
Baseline MRA therapy131 (45%)69 (44%)46 (46%)16 (48%)0.141
Baseline furosemide equivalent dose (mg)81 (±99)80 (±109)74 (±73)108 (±111)0.129
2-month furosemide equivalent dose (mg)67 (± 69)71 (±74)56 (±46)78 (±94)0.294
Echocardiographic data
TR aetiology0.320
 Functional atrial133 (46%)72 (46%)47 (47%)14 (42%)
 Functional ventricular122 (42%)67 (43%)43 (43%)12 (36%)
 CIED16 (6%)10 (6%)2 (2%)4 (12%)
 Organic17 (6%)7 (5%)7 (7%)3 (10%)
LVEF55 (47–60)55 (50–60)52 (42–59)55 (50–60)0.015
LVEF ≤ 30%19 (6%)7 (5%)10 (10%)2 (6%)0.212
LVEDD48 (43–54)48 (43–53)50 (44–55)48 (45–52)0.401
LVEDD > 60 mm26 (9%)12 (6%)12 (15%)2 (6%)0.191
Left atrial volume99 (72–128)94 (70–129)104 (78–128)95 (65–113)0.314
Baseline MR degree<0.001
 039 (14%)28 (18%)011 (34%)
 1126 (44%)98 (63%)10 (10%)18 (56%)
 267 (23%)27 (17%)37 (37%)3 (9%)
 348 (17%)3 (2%)44 (44%)1 (3%)
 48 (3%)08 (8%)0
2-month MR degree<0.001
 043 (14%)28 (18%)15 (15%)0
 1175 (61%)98 (63%)67 (68%)10 (30%)
 262 (22%)27 (17%)17 (17%)18 (55%)
 36 (2%)3 (2%)03 (9%)
 42 (1%)002 (6%)
TAPSE16 (14–20)16 (13–21)16 (14–19)17 (15–21)0.313
TAPSE/sPAP0.40 (0.31–0.6)0.44 (0.30–0.62)0.42 (0.31–0.56)0.45 (0.34–0.60)0.433
TAPSE/sPAP < 0.4100 (35%)53 (40%)37 (42%)10 (38%)0.925
Procedural data
Procedure0.055
 T-TEER242 (84%)129 (83%)87 (88%)26 (78%)
 Annuloplasty18 (6%)10 (6%)5 (5%)3 (9%)
 Spacer12 (4%)9 (6%)3 (3%)0
 TTVR6 (2%)5 (3%)1 (1%)0
 Heterotopic8 (3%)2 (1%)2 (2%)4 (12%)
 Combined2 (1%)1 (1%)1 (1%)0
Acute procedural success246 (85%)128 (82%)92 (97%)26 (78%)0.029
Low cardiac output syndrome5 (1%)4 (2%)1 (1%)00.524
Effective reduction to at least moderate TR215 (75%)112 (72%)82 (83%)21 (63%)0.037

Bold values denote statistical significance at the p < 0.05 level.

Abbreviations: CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; ICD, implantable cardioverter defibrillator; LVEDD, left ventricular end-diastolic diameter; LVEF, left ventricular ejection fraction; MR, mitral regurgitation; MRA, mineralocorticoid receptor antagonist; PM, pacemaker; RAAS, renin–angiotensin–aldosteron; RV, right ventricle; sPAP, systolic pulmonary artery pressure; TAPSE, tricuspid annulus plane systolic excursion; T-TEER, tricuspid transcatheter edge-to-edge repair; TR, tricuspid regurgitation; TTVR, transcatheter tricuspid valve replacement.

Table 2

Baseline characteristics of the patient cohort stratified by mitral regurgitation evolution at 2-month echocardiogram

DemographicsOverall cohort (n = 288)MR stable (n = 156)MR improvement (n = 99)MR worsening (n = 33)P value
Age78 (74–82)77 (72–82)80 (75–83)80 (75–82)0.007
Female172 (60%)103 (66%)51 (51%)18 (55%)0.057
Body mass index25 (22–28)25 (22–28)25 (22–28)25 (22–30)0.957
Previous myocardial infarction42 (15%)20 (13%)18 (18%)4 (12%)0.150
COPD58 (20%)29 (19%)22 (22%)7 (20%)0.784
Euroscore26 (4–11)5 (3–10)6 (4–11)6 (4–11)0.228
Atrial fibrillation152 (53%)88 (56%)45 (45%)19 (57%)0.356
PM/ICD65 (18%)35 (22%)26 (26%)6 (18%)0.099
Chronic kidney disease212 (74%)118 (76%)72 (72%)22 (66%)0.506
Diabetes mellitus72 (25%)36 (23%)27 (27%)9 (27%)0.751
Right heart failure signs
Ascites49 (17%)32 (22%)8 (9%)9 (29%)0.009
Peripheral oedema218 (76%)111 (71%)82 (82%)25 (75%)0.044
Therapy
Baseline anti-RAAS therapy180 (62%)100 (64%)64 (64%)16 (48%)0.209
Baseline beta-blocker therapy244 (85%)128 (82%)91 (91%)25 (75%)0.023
Baseline MRA therapy131 (45%)69 (44%)46 (46%)16 (48%)0.141
Baseline furosemide equivalent dose (mg)81 (±99)80 (±109)74 (±73)108 (±111)0.129
2-month furosemide equivalent dose (mg)67 (± 69)71 (±74)56 (±46)78 (±94)0.294
Echocardiographic data
TR aetiology0.320
 Functional atrial133 (46%)72 (46%)47 (47%)14 (42%)
 Functional ventricular122 (42%)67 (43%)43 (43%)12 (36%)
 CIED16 (6%)10 (6%)2 (2%)4 (12%)
 Organic17 (6%)7 (5%)7 (7%)3 (10%)
LVEF55 (47–60)55 (50–60)52 (42–59)55 (50–60)0.015
LVEF ≤ 30%19 (6%)7 (5%)10 (10%)2 (6%)0.212
LVEDD48 (43–54)48 (43–53)50 (44–55)48 (45–52)0.401
LVEDD > 60 mm26 (9%)12 (6%)12 (15%)2 (6%)0.191
Left atrial volume99 (72–128)94 (70–129)104 (78–128)95 (65–113)0.314
Baseline MR degree<0.001
 039 (14%)28 (18%)011 (34%)
 1126 (44%)98 (63%)10 (10%)18 (56%)
 267 (23%)27 (17%)37 (37%)3 (9%)
 348 (17%)3 (2%)44 (44%)1 (3%)
 48 (3%)08 (8%)0
2-month MR degree<0.001
 043 (14%)28 (18%)15 (15%)0
 1175 (61%)98 (63%)67 (68%)10 (30%)
 262 (22%)27 (17%)17 (17%)18 (55%)
 36 (2%)3 (2%)03 (9%)
 42 (1%)002 (6%)
TAPSE16 (14–20)16 (13–21)16 (14–19)17 (15–21)0.313
TAPSE/sPAP0.40 (0.31–0.6)0.44 (0.30–0.62)0.42 (0.31–0.56)0.45 (0.34–0.60)0.433
TAPSE/sPAP < 0.4100 (35%)53 (40%)37 (42%)10 (38%)0.925
Procedural data
Procedure0.055
 T-TEER242 (84%)129 (83%)87 (88%)26 (78%)
 Annuloplasty18 (6%)10 (6%)5 (5%)3 (9%)
 Spacer12 (4%)9 (6%)3 (3%)0
 TTVR6 (2%)5 (3%)1 (1%)0
 Heterotopic8 (3%)2 (1%)2 (2%)4 (12%)
 Combined2 (1%)1 (1%)1 (1%)0
Acute procedural success246 (85%)128 (82%)92 (97%)26 (78%)0.029
Low cardiac output syndrome5 (1%)4 (2%)1 (1%)00.524
Effective reduction to at least moderate TR215 (75%)112 (72%)82 (83%)21 (63%)0.037
DemographicsOverall cohort (n = 288)MR stable (n = 156)MR improvement (n = 99)MR worsening (n = 33)P value
Age78 (74–82)77 (72–82)80 (75–83)80 (75–82)0.007
Female172 (60%)103 (66%)51 (51%)18 (55%)0.057
Body mass index25 (22–28)25 (22–28)25 (22–28)25 (22–30)0.957
Previous myocardial infarction42 (15%)20 (13%)18 (18%)4 (12%)0.150
COPD58 (20%)29 (19%)22 (22%)7 (20%)0.784
Euroscore26 (4–11)5 (3–10)6 (4–11)6 (4–11)0.228
Atrial fibrillation152 (53%)88 (56%)45 (45%)19 (57%)0.356
PM/ICD65 (18%)35 (22%)26 (26%)6 (18%)0.099
Chronic kidney disease212 (74%)118 (76%)72 (72%)22 (66%)0.506
Diabetes mellitus72 (25%)36 (23%)27 (27%)9 (27%)0.751
Right heart failure signs
Ascites49 (17%)32 (22%)8 (9%)9 (29%)0.009
Peripheral oedema218 (76%)111 (71%)82 (82%)25 (75%)0.044
Therapy
Baseline anti-RAAS therapy180 (62%)100 (64%)64 (64%)16 (48%)0.209
Baseline beta-blocker therapy244 (85%)128 (82%)91 (91%)25 (75%)0.023
Baseline MRA therapy131 (45%)69 (44%)46 (46%)16 (48%)0.141
Baseline furosemide equivalent dose (mg)81 (±99)80 (±109)74 (±73)108 (±111)0.129
2-month furosemide equivalent dose (mg)67 (± 69)71 (±74)56 (±46)78 (±94)0.294
Echocardiographic data
TR aetiology0.320
 Functional atrial133 (46%)72 (46%)47 (47%)14 (42%)
 Functional ventricular122 (42%)67 (43%)43 (43%)12 (36%)
 CIED16 (6%)10 (6%)2 (2%)4 (12%)
 Organic17 (6%)7 (5%)7 (7%)3 (10%)
LVEF55 (47–60)55 (50–60)52 (42–59)55 (50–60)0.015
LVEF ≤ 30%19 (6%)7 (5%)10 (10%)2 (6%)0.212
LVEDD48 (43–54)48 (43–53)50 (44–55)48 (45–52)0.401
LVEDD > 60 mm26 (9%)12 (6%)12 (15%)2 (6%)0.191
Left atrial volume99 (72–128)94 (70–129)104 (78–128)95 (65–113)0.314
Baseline MR degree<0.001
 039 (14%)28 (18%)011 (34%)
 1126 (44%)98 (63%)10 (10%)18 (56%)
 267 (23%)27 (17%)37 (37%)3 (9%)
 348 (17%)3 (2%)44 (44%)1 (3%)
 48 (3%)08 (8%)0
2-month MR degree<0.001
 043 (14%)28 (18%)15 (15%)0
 1175 (61%)98 (63%)67 (68%)10 (30%)
 262 (22%)27 (17%)17 (17%)18 (55%)
 36 (2%)3 (2%)03 (9%)
 42 (1%)002 (6%)
TAPSE16 (14–20)16 (13–21)16 (14–19)17 (15–21)0.313
TAPSE/sPAP0.40 (0.31–0.6)0.44 (0.30–0.62)0.42 (0.31–0.56)0.45 (0.34–0.60)0.433
TAPSE/sPAP < 0.4100 (35%)53 (40%)37 (42%)10 (38%)0.925
Procedural data
Procedure0.055
 T-TEER242 (84%)129 (83%)87 (88%)26 (78%)
 Annuloplasty18 (6%)10 (6%)5 (5%)3 (9%)
 Spacer12 (4%)9 (6%)3 (3%)0
 TTVR6 (2%)5 (3%)1 (1%)0
 Heterotopic8 (3%)2 (1%)2 (2%)4 (12%)
 Combined2 (1%)1 (1%)1 (1%)0
Acute procedural success246 (85%)128 (82%)92 (97%)26 (78%)0.029
Low cardiac output syndrome5 (1%)4 (2%)1 (1%)00.524
Effective reduction to at least moderate TR215 (75%)112 (72%)82 (83%)21 (63%)0.037

Bold values denote statistical significance at the p < 0.05 level.

Abbreviations: CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; ICD, implantable cardioverter defibrillator; LVEDD, left ventricular end-diastolic diameter; LVEF, left ventricular ejection fraction; MR, mitral regurgitation; MRA, mineralocorticoid receptor antagonist; PM, pacemaker; RAAS, renin–angiotensin–aldosteron; RV, right ventricle; sPAP, systolic pulmonary artery pressure; TAPSE, tricuspid annulus plane systolic excursion; T-TEER, tricuspid transcatheter edge-to-edge repair; TR, tricuspid regurgitation; TTVR, transcatheter tricuspid valve replacement.

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