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April 30, 2025European Heart Journal OpenOpen Access

Prognostic significance of early stage aortic valve disease development in heart failure: insights from the MECKI score cohort

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Why the study?

The relationship between aortic valve sclerosis and heart failure prognosis was poorly studied.

Does the presence or development of aortic valve sclerosis predict all-cause mortality and cardiovascular outcomes in patients with heart failure?

Population

1397 HF patients

Comparison

Presence or development of AV sclerosis vs absence of AV sclerosis

Design

Cohort study

Follow-up

5 years

Key result

Development of aortic valve sclerosis in heart failure patients was strongly associated with increased all-cause mortality (HR 3.4; 95% CI 1.3-10.8; P=0.017).

Authors

VMVeronika A. MyasoedovaESElisabetta SalvioniABAlice Bonomi

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Member takes

Overview

May signal higher mortality risk warranting closer HF surveillance; leaves open its value for risk stratification or as a therapeutic target.

Study Design

Type

Cohort (n=1,397)

Structured PICO

Does the presence or development of aortic valve sclerosis predict all-cause mortality and cardiovascular outcomes in patients with heart failure?

P
Population
1,397 heart failure patients (2006–2019) from the MECKI score cohort
I
Intervention
Presence or development of aortic valve (AV) sclerosis identified by transthoracic echocardiography
C
Comparator
Absence of aortic valve sclerosis
O
Outcome
All-cause mortality and composite cardiovascular outcomeshard clinical

Main Result

Effect estimate: HR 3.4 (95% CI 1.3-10.8)

p-value: p=0.017

In heart failure patients, the development of aortic valve sclerosis serves as a marker of disease progression and is strongly associated with increased all-cause mortality and cardiovascular outcomes.

Cite This Study

Myasoedova et al. (2025) conducted a cohort in Heart failure (n=1,397). Aortic valve (AV) sclerosis development vs. No AV sclerosis development was evaluated on All-cause mortality (HR 3.4, 95% CI 1.3-10.8, p=0.017). Development of aortic valve sclerosis in heart failure patients was strongly associated with increased all-cause mortality (HR 3.4; 95% CI 1.3-10.8; P=0.017).

synapsesocial.com/papers/6a15c69b814bf8ec9a4f0751https://doi.org/10.1093/ehjopen/oeaf066
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