Incremental value of tricuspid annular enlargement to progressive tricuspid regurgitation in patients with longstanding persistent atrial fibrillation
Tricuspid annular enlargement in patients with atrial fibrillation (AF) can induce tricuspid regurgitation (TR). However, risk factors associated with TR progression in patients with AF have not been defined. This study aimed to clarify an association between tricuspid annular diameter (TAD) and TR...
Gespeichert in:
| Veröffentlicht in: | Heart and vessels 2024-09, Vol.39 (9), p.795-802 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 802 |
|---|---|
| container_issue | 9 |
| container_start_page | 795 |
| container_title | Heart and vessels |
| container_volume | 39 |
| creator | Kinoshita, Masaki Saito, Makoto Inoue, Katsuji Tasaka, Tatsuro Nakagawa, Hirohiko Fujimoto, Kaori Sato, Sumiko Nishimura, Kazuhisa Ikeda, Shuntaro Sumimoto, Takumi Yamaguchi, Osamu |
| description | Tricuspid annular enlargement in patients with atrial fibrillation (AF) can induce tricuspid regurgitation (TR). However, risk factors associated with TR progression in patients with AF have not been defined. This study aimed to clarify an association between tricuspid annular diameter (TAD) and TR progression in patients with longstanding persistent AF. We retrospectively analyzed data from 228 patients who had longstanding persistent AF for > 1 year and mild or less TR on baseline echocardiograms. We defined significant TR as moderate or greater TR, graded according to the jet area and vena contracta. The optimal cut-off value of the TAD index (TADI), based on body surface area for predicting progression to significant TR, was estimated using receiver operating characteristic (ROC) curves. The independence and incremental value of the TADI were evaluated using multivariate Cox proportional hazard regression analysis and likelihood ratio tests. Over a median follow-up of 3.7 years, 55 (24.1%) patients developed significant TR. The optimal cut-off value of 21.1 mm/m
2
for the TADI at baseline and ROC curves predicted TR progression with 70.4% sensitivity and 86% specificity. Furthermore, TADI was an independent predictor of TR progression (hazard ratio, 1.32; 95% confidence interval, 1.17–1.49,
P
|
| doi_str_mv | 10.1007/s00380-024-02405-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3041230999</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3041230999</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-72406666458db890116764b534470032960d5e537b916e822f498a424e1e491f3</originalsourceid><addsrcrecordid>eNp9kctu1TAQhi0EoqeFF2CBLLFhExhfEy9RVaBSJTawjpxkElzlOMF2ivoiPC9zzikXscCSL5K__5-xf8ZeCHgjAOq3GUA1UIHUhwmmso_YTlhhKmlq9ZjtwAmoGiXrM3ae8y2AME64p-xMNVYZsGLHflzHPuEeY_Ezv_PzhnwZeUmh3_IaBu5j3GafOEZapyPIy8LXtEwJcw53-BeccNrSFIovYYk8RL7SiRSZfw_lK5-XOOXi4xDixFdMOeRy8PPkQNXH0KUwz0fxM_Zk9HPG5w_7Bfvy_urz5cfq5tOH68t3N1WvpC1VTc-2NLRphq5xIIStre6M0rqmz5HOwmDQqLpzwmIj5ahd47XUKFA7MaoL9vrkSw_6tmEu7T7kHqmLiMuWWwVaSAXOOUJf_YPeLluK1B1RzlrjHEii5Inq05JzwrFdU9j7dN8KaA-ptafUWkqsPabWWhK9fLDeuj0OvyW_YiJAnYBMV3HC9Kf2f2x_AqCApK8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3096659902</pqid></control><display><type>article</type><title>Incremental value of tricuspid annular enlargement to progressive tricuspid regurgitation in patients with longstanding persistent atrial fibrillation</title><source>Springer Nature - Complete Springer Journals</source><creator>Kinoshita, Masaki ; Saito, Makoto ; Inoue, Katsuji ; Tasaka, Tatsuro ; Nakagawa, Hirohiko ; Fujimoto, Kaori ; Sato, Sumiko ; Nishimura, Kazuhisa ; Ikeda, Shuntaro ; Sumimoto, Takumi ; Yamaguchi, Osamu</creator><creatorcontrib>Kinoshita, Masaki ; Saito, Makoto ; Inoue, Katsuji ; Tasaka, Tatsuro ; Nakagawa, Hirohiko ; Fujimoto, Kaori ; Sato, Sumiko ; Nishimura, Kazuhisa ; Ikeda, Shuntaro ; Sumimoto, Takumi ; Yamaguchi, Osamu</creatorcontrib><description>Tricuspid annular enlargement in patients with atrial fibrillation (AF) can induce tricuspid regurgitation (TR). However, risk factors associated with TR progression in patients with AF have not been defined. This study aimed to clarify an association between tricuspid annular diameter (TAD) and TR progression in patients with longstanding persistent AF. We retrospectively analyzed data from 228 patients who had longstanding persistent AF for > 1 year and mild or less TR on baseline echocardiograms. We defined significant TR as moderate or greater TR, graded according to the jet area and vena contracta. The optimal cut-off value of the TAD index (TADI), based on body surface area for predicting progression to significant TR, was estimated using receiver operating characteristic (ROC) curves. The independence and incremental value of the TADI were evaluated using multivariate Cox proportional hazard regression analysis and likelihood ratio tests. Over a median follow-up of 3.7 years, 55 (24.1%) patients developed significant TR. The optimal cut-off value of 21.1 mm/m
2
for the TADI at baseline and ROC curves predicted TR progression with 70.4% sensitivity and 86% specificity. Furthermore, TADI was an independent predictor of TR progression (hazard ratio, 1.32; 95% confidence interval, 1.17–1.49,
P
< 0.001) and had a significant incremental value that exceeded that of models constructed using clinical parameters. In conclusion, TADI was significantly associated with TR progression and was an independent predictor of TR progression in longstanding persistent AF.</description><identifier>ISSN: 0910-8327</identifier><identifier>ISSN: 1615-2573</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-024-02405-6</identifier><identifier>PMID: 38635061</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Biomedical Engineering and Bioengineering ; Cardiac arrhythmia ; Cardiac Surgery ; Cardiology ; Confidence intervals ; Enlargement ; Fibrillation ; Likelihood ratio ; Medicine ; Medicine & Public Health ; Original Article ; Parameter sensitivity ; Regression analysis ; Regurgitation ; Risk factors ; Statistical analysis ; Vascular Surgery</subject><ispartof>Heart and vessels, 2024-09, Vol.39 (9), p.795-802</ispartof><rights>Springer Nature Japan KK, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. Springer Nature Japan KK, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-72406666458db890116764b534470032960d5e537b916e822f498a424e1e491f3</cites><orcidid>0000-0002-2607-7829</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-024-02405-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-024-02405-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38635061$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kinoshita, Masaki</creatorcontrib><creatorcontrib>Saito, Makoto</creatorcontrib><creatorcontrib>Inoue, Katsuji</creatorcontrib><creatorcontrib>Tasaka, Tatsuro</creatorcontrib><creatorcontrib>Nakagawa, Hirohiko</creatorcontrib><creatorcontrib>Fujimoto, Kaori</creatorcontrib><creatorcontrib>Sato, Sumiko</creatorcontrib><creatorcontrib>Nishimura, Kazuhisa</creatorcontrib><creatorcontrib>Ikeda, Shuntaro</creatorcontrib><creatorcontrib>Sumimoto, Takumi</creatorcontrib><creatorcontrib>Yamaguchi, Osamu</creatorcontrib><title>Incremental value of tricuspid annular enlargement to progressive tricuspid regurgitation in patients with longstanding persistent atrial fibrillation</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Tricuspid annular enlargement in patients with atrial fibrillation (AF) can induce tricuspid regurgitation (TR). However, risk factors associated with TR progression in patients with AF have not been defined. This study aimed to clarify an association between tricuspid annular diameter (TAD) and TR progression in patients with longstanding persistent AF. We retrospectively analyzed data from 228 patients who had longstanding persistent AF for > 1 year and mild or less TR on baseline echocardiograms. We defined significant TR as moderate or greater TR, graded according to the jet area and vena contracta. The optimal cut-off value of the TAD index (TADI), based on body surface area for predicting progression to significant TR, was estimated using receiver operating characteristic (ROC) curves. The independence and incremental value of the TADI were evaluated using multivariate Cox proportional hazard regression analysis and likelihood ratio tests. Over a median follow-up of 3.7 years, 55 (24.1%) patients developed significant TR. The optimal cut-off value of 21.1 mm/m
2
for the TADI at baseline and ROC curves predicted TR progression with 70.4% sensitivity and 86% specificity. Furthermore, TADI was an independent predictor of TR progression (hazard ratio, 1.32; 95% confidence interval, 1.17–1.49,
P
< 0.001) and had a significant incremental value that exceeded that of models constructed using clinical parameters. In conclusion, TADI was significantly associated with TR progression and was an independent predictor of TR progression in longstanding persistent AF.</description><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Confidence intervals</subject><subject>Enlargement</subject><subject>Fibrillation</subject><subject>Likelihood ratio</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Parameter sensitivity</subject><subject>Regression analysis</subject><subject>Regurgitation</subject><subject>Risk factors</subject><subject>Statistical analysis</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1TAQhi0EoqeFF2CBLLFhExhfEy9RVaBSJTawjpxkElzlOMF2ivoiPC9zzikXscCSL5K__5-xf8ZeCHgjAOq3GUA1UIHUhwmmso_YTlhhKmlq9ZjtwAmoGiXrM3ae8y2AME64p-xMNVYZsGLHflzHPuEeY_Ezv_PzhnwZeUmh3_IaBu5j3GafOEZapyPIy8LXtEwJcw53-BeccNrSFIovYYk8RL7SiRSZfw_lK5-XOOXi4xDixFdMOeRy8PPkQNXH0KUwz0fxM_Zk9HPG5w_7Bfvy_urz5cfq5tOH68t3N1WvpC1VTc-2NLRphq5xIIStre6M0rqmz5HOwmDQqLpzwmIj5ahd47XUKFA7MaoL9vrkSw_6tmEu7T7kHqmLiMuWWwVaSAXOOUJf_YPeLluK1B1RzlrjHEii5Inq05JzwrFdU9j7dN8KaA-ptafUWkqsPabWWhK9fLDeuj0OvyW_YiJAnYBMV3HC9Kf2f2x_AqCApK8</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Kinoshita, Masaki</creator><creator>Saito, Makoto</creator><creator>Inoue, Katsuji</creator><creator>Tasaka, Tatsuro</creator><creator>Nakagawa, Hirohiko</creator><creator>Fujimoto, Kaori</creator><creator>Sato, Sumiko</creator><creator>Nishimura, Kazuhisa</creator><creator>Ikeda, Shuntaro</creator><creator>Sumimoto, Takumi</creator><creator>Yamaguchi, Osamu</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2607-7829</orcidid></search><sort><creationdate>20240901</creationdate><title>Incremental value of tricuspid annular enlargement to progressive tricuspid regurgitation in patients with longstanding persistent atrial fibrillation</title><author>Kinoshita, Masaki ; Saito, Makoto ; Inoue, Katsuji ; Tasaka, Tatsuro ; Nakagawa, Hirohiko ; Fujimoto, Kaori ; Sato, Sumiko ; Nishimura, Kazuhisa ; Ikeda, Shuntaro ; Sumimoto, Takumi ; Yamaguchi, Osamu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-72406666458db890116764b534470032960d5e537b916e822f498a424e1e491f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Biomedical Engineering and Bioengineering</topic><topic>Cardiac arrhythmia</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Confidence intervals</topic><topic>Enlargement</topic><topic>Fibrillation</topic><topic>Likelihood ratio</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Parameter sensitivity</topic><topic>Regression analysis</topic><topic>Regurgitation</topic><topic>Risk factors</topic><topic>Statistical analysis</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kinoshita, Masaki</creatorcontrib><creatorcontrib>Saito, Makoto</creatorcontrib><creatorcontrib>Inoue, Katsuji</creatorcontrib><creatorcontrib>Tasaka, Tatsuro</creatorcontrib><creatorcontrib>Nakagawa, Hirohiko</creatorcontrib><creatorcontrib>Fujimoto, Kaori</creatorcontrib><creatorcontrib>Sato, Sumiko</creatorcontrib><creatorcontrib>Nishimura, Kazuhisa</creatorcontrib><creatorcontrib>Ikeda, Shuntaro</creatorcontrib><creatorcontrib>Sumimoto, Takumi</creatorcontrib><creatorcontrib>Yamaguchi, Osamu</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kinoshita, Masaki</au><au>Saito, Makoto</au><au>Inoue, Katsuji</au><au>Tasaka, Tatsuro</au><au>Nakagawa, Hirohiko</au><au>Fujimoto, Kaori</au><au>Sato, Sumiko</au><au>Nishimura, Kazuhisa</au><au>Ikeda, Shuntaro</au><au>Sumimoto, Takumi</au><au>Yamaguchi, Osamu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incremental value of tricuspid annular enlargement to progressive tricuspid regurgitation in patients with longstanding persistent atrial fibrillation</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>39</volume><issue>9</issue><spage>795</spage><epage>802</epage><pages>795-802</pages><issn>0910-8327</issn><issn>1615-2573</issn><eissn>1615-2573</eissn><abstract>Tricuspid annular enlargement in patients with atrial fibrillation (AF) can induce tricuspid regurgitation (TR). However, risk factors associated with TR progression in patients with AF have not been defined. This study aimed to clarify an association between tricuspid annular diameter (TAD) and TR progression in patients with longstanding persistent AF. We retrospectively analyzed data from 228 patients who had longstanding persistent AF for > 1 year and mild or less TR on baseline echocardiograms. We defined significant TR as moderate or greater TR, graded according to the jet area and vena contracta. The optimal cut-off value of the TAD index (TADI), based on body surface area for predicting progression to significant TR, was estimated using receiver operating characteristic (ROC) curves. The independence and incremental value of the TADI were evaluated using multivariate Cox proportional hazard regression analysis and likelihood ratio tests. Over a median follow-up of 3.7 years, 55 (24.1%) patients developed significant TR. The optimal cut-off value of 21.1 mm/m
2
for the TADI at baseline and ROC curves predicted TR progression with 70.4% sensitivity and 86% specificity. Furthermore, TADI was an independent predictor of TR progression (hazard ratio, 1.32; 95% confidence interval, 1.17–1.49,
P
< 0.001) and had a significant incremental value that exceeded that of models constructed using clinical parameters. In conclusion, TADI was significantly associated with TR progression and was an independent predictor of TR progression in longstanding persistent AF.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>38635061</pmid><doi>10.1007/s00380-024-02405-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2607-7829</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0910-8327 |
| ispartof | Heart and vessels, 2024-09, Vol.39 (9), p.795-802 |
| issn | 0910-8327 1615-2573 1615-2573 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3041230999 |
| source | Springer Nature - Complete Springer Journals |
| subjects | Biomedical Engineering and Bioengineering Cardiac arrhythmia Cardiac Surgery Cardiology Confidence intervals Enlargement Fibrillation Likelihood ratio Medicine Medicine & Public Health Original Article Parameter sensitivity Regression analysis Regurgitation Risk factors Statistical analysis Vascular Surgery |
| title | Incremental value of tricuspid annular enlargement to progressive tricuspid regurgitation in patients with longstanding persistent atrial fibrillation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T21%3A05%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Incremental%20value%20of%20tricuspid%20annular%20enlargement%20to%20progressive%20tricuspid%20regurgitation%20in%20patients%20with%20longstanding%20persistent%20atrial%20fibrillation&rft.jtitle=Heart%20and%20vessels&rft.au=Kinoshita,%20Masaki&rft.date=2024-09-01&rft.volume=39&rft.issue=9&rft.spage=795&rft.epage=802&rft.pages=795-802&rft.issn=0910-8327&rft.eissn=1615-2573&rft_id=info:doi/10.1007/s00380-024-02405-6&rft_dat=%3Cproquest_cross%3E3041230999%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3096659902&rft_id=info:pmid/38635061&rfr_iscdi=true |