Does the presence of atrial fibrillation predict persistent tricuspid regurgitation and poor long-term outcomes in patients with baseline moderate-severe TR undergoing TAVR?
In patients undergoing TAVR with baseline moderate-severe TR, the presence of atrial fibrillation is a predictor of persistent TR and poor long-term outcomes.
Baseline moderate-severe TR is not uncommon in patients undergoing TAVR, and frequently improves. However, the presence of AF suggests that that TR is likely to persist after TAVR and is also indicative of a poor long-term outcome. Whether redirecting such patients to surgery for concomitant tricuspid valve repair will further improve outcomes requires further study.
Worku et al. (Tue,) studied this question.