Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

Prevalence, Clinical Characteristics and Outcomes of Heart Failure Patients with or Without Isolated or Combined Mitral and Tricuspid Regurgitation: An Analysis from the ESC-HFA Heart Failure Long-Term Registry

Marianna Adamo, Ovidiu Chioncel, Lina Benson, Bahira Shahim, María G. Crespo‐Leiro, Stefan D. Anker, Andrew J.S. Coats, Gerasimos Filippatos, Mitja Lainščak, Theresa A. McDonagh, Alexander Mebazaa, Massimo Piepoli, Giuseppe Rosano, Frank Ruschitzka, Gianluigi Savarese, Petar Seferović, Angiza Shahim, Bogdan A. Popescu, Bernard Iung, Maurizio Volterrani, Aldo P. Maggioni, Marco Metra, Lars H. Lund

European Journal of Heart Failure · 2023

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Summary

This prospective multicentre observational study of 11,298 heart failure outpatients examined the prevalence and clinical outcomes of isolated and combined moderate-to-severe mitral and tricuspid regurgitation across the ejection fraction spectrum. The findings demonstrate that isolated tricuspid regurgitation was predominantly associated with preserved ejection fraction phenotypes and carried unexpectedly poor prognosis, whilst combined regurgitation burden was highest in reduced ejection fraction patients.

UK applicability

As a European registry study, findings are directly applicable to UK heart failure populations and clinical practice. The prognostic stratification by valve disease pattern may inform risk assessment and monitoring protocols within UK cardiology services and NHS heart failure programmes.

Key measures

Prevalence of isolated mitral regurgitation (MR), isolated tricuspid regurgitation (TR), combined MR/TR, and no MR/TR; odds ratios by ejection fraction category; incident rates of all-cause death, cardiovascular death, and HF hospitalisation

Outcomes reported

The study measured prevalence of isolated and combined mitral and tricuspid regurgitation across the heart failure spectrum, and reported all-cause mortality, cardiovascular mortality, and heart failure hospitalisation rates at 1-year follow-up stratified by regurgitation status.

Theme
Nutrition & health
Subject
Dietary patterns & chronic disease
Study type
Research
Study design
Observational cohort
Source type
Peer-reviewed study
Status
Published
Geography
Europe
System type
Human clinical
DOI
10.1002/ejhf.2929
Catalogue ID
SNmojg05va-7gjmhj

Topic tags

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