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November 1, 2009HeartOpen Access

Short-term effects of transcatheter aortic valve implantation on neurohormonal activation, quality of life and 6-minute walk test in severe and symptomatic aortic stenosis

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Key result

TAVI significantly improved quality of life (MLHFQ score 28 vs baseline 44, p<0.001) and 6-minute walk test distance (266m vs baseline 204m, p<0.001) at 30 days in severe aortic stenosis.

Why the study?

Does transcatheter aortic valve implantation improve quality of life, exercise capacity, and neurohormonal activation in patients with severe symptomatic aortic stenosis?

Population

44 consecutive patients with symptomatic severe aortic valve stenosis (area<1 cm), age>=75 years with a…

Design

Cohort

Follow-up

30 days

Authors

MGMichael GotzmannTHT. HehenAGAlfried Germing

Discussion

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Overview

Supports short-term QoL and functional gains after TAVI; leaves open durability and effects on hard outcomes.

Study Design

Type

Cohort (n=44)

Structured PICO

Does transcatheter aortic valve implantation improve quality of life, exercise capacity, and neurohormonal activation in patients with severe symptomatic aortic stenosis?

P
Population
44 patients with symptomatic severe aortic valve stenosis undergoing TAVI, evaluated at baseline and 30 days.
E
Exposure
Transcatheter aortic valve implantation (TAVI) with the CoreValve prosthesis, inserted retrograde using a femoral arterial or a subclavian artery approach.
O
Outcome
Quality of life (Minnesota living with heart failure questionnaire [MLHFQ]), 6-minute walk test, B-type natriuretic peptide, and echocardiography at 30 days after TAVI.patient reported

Main Result

p-value: p=<0.001

TAVI significantly improves quality of life, exercise capacity, and neurohormonal activation at 30 days in patients with severe symptomatic aortic stenosis.

Cite This Study

Gotzmann et al. (2009) conducted a cohort in severe and symptomatic aortic valve stenosis (n=44). Transcatheter aortic valve implantation (TAVI) vs. Baseline was evaluated on Quality of life (MLHFQ), 6-minute walk test, and B-type natriuretic peptide (p=<0.001). TAVI significantly improved quality of life (MLHFQ score 28 vs baseline 44, p<0.001) and 6-minute walk test distance (266m vs baseline 204m, p<0.001) at 30 days in severe aortic stenosis.

synapsesocial.com/papers/6a7c8eb32bc3e5689c4c715ehttps://doi.org/10.1136/hrt.2009.180661
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Quality of life assessment after percutaneous aortic valve implantation2009 · 92 citations
  2. 2ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease2006 · 8,515 citations
  3. 3Increased Plasma Natriuretic Peptide Levels Reflect Symptom Onset in Aortic Stenosis2003 · 307 citations
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  5. 5Percutaneous Transarterial Aortic Valve Replacement in Selected High-Risk Patients With Aortic Stenosis2007 · 1,021 citations