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January 14, 2026American Heart Journal Plus Cardiology Research and PracticeOpen Access

Racial disparities in transcatheter aortic valve replacement: A contemporary nationwide analysis

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Why the study?

As TAVR volume increases with evolving indications, insight is needed regarding procedure access and outcomes to evaluate potential racial disparities in the contemporary era.

Does non-White race affect in-hospital mortality and composite outcomes in patients undergoing TAVR?

Population

42,877 TAVR patients aged ≥18 in the National Inpatient Sample (2016–2019)

Comparison

White vs non-White patients

Design

Retrospective propensity-score matched nationwide registry study

Follow-up

In-hospital

Authors

CSCharley SunMZMichael ZhuDMDaniel McGrath

Discussion

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Member takes

Overview

No difference in TAVR mortality or composite outcome by race; leaves open drivers of higher complication rates in non-White patients.

Structured PICO

Does non-White race affect in-hospital mortality and composite outcomes in patients undergoing TAVR?

P
Population
42,877 TAVR patients (aged ≥18) identified in the National Inpatient Sample from 2016 to 2019 (37,319 White and 5,558 non-White).
I
Intervention
Transcatheter aortic valve replacement (TAVR) in non-White patients
C
Comparator
Transcatheter aortic valve replacement (TAVR) in White patients
O
Outcome
In-hospital mortality and a composite outcomecomposite

TAVR remains safe with comparable in-hospital mortality between White and non-White patients, though non-White patients experience higher rates of specific complications such as acute renal failure and vascular complications.

Cite This Study

Sun et al. (2026) studied this question.

synapsesocial.com/papers/6a100a1d9e54838161fd9a61https://doi.org/10.1016/j.ahjo.2026.100720
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