Transcatheter mitral valve repair (TMVr) has been approved, in the United States,
for the treatment of degenerative mitral valve regurgitation (MR) in certain high
surgical risk or inoperable patients. In a recent study by Jabs et al., the in-hospital
outcomes (at 12 months) of pre-existing atrial fibrillation (Afib) did not differ
considerably from those with sinus rhythm in regard to either major adverse cardiac
and cerebrovascular event (MACCE) rates or clinical improvements [
[1]
]. However, it should be noted that Afib is a frequently encountered adverse outcome
in the TMVr procedure [
[1]
] and is, in general, a marker for advanced heart failure [
[2]
]. While previous studies compared the outcomes of pre-existing Afib, there lacks
information comparing the outcomes of NOAF in patients with TMVr. Therefore, the objective
of this study is to compare in-hospital outcomes in patients with and without NOAF
undergoing TMVr.Keywords
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References
- Effects of atrial fibrillation and heart rate on percutaneous mitral valve repair with mitraclip: results from the TRAnscatheter Mitral valve Interventions (TRAMI) registry.EuroIntervention. 2017; 12: 1697-1705
- Comparison of outcome after percutaneous mitral valve repair with the mitraclip in patients with versus without atrial fibrillation.Am J Cardiol. 2017; 120: 2035-2040
- Comparison of transcatheter mitral valve repair versus surgical mitral valve repair in patients with advanced kidney disease (from the National Inpatient Sample).Am J Cardiol. 2017; 121: 762-767
- Incident stroke and mortality associated with new-onset atrial fibrillation in patients hospitalized with severe sepsis.JAMA. 2011; 306: 2248-2254
- Perioperative major adverse cardiovascular and cerebrovascular events associated with noncardiac surgery.JAMA Cardiol. 2017; 2: 181-187
Article info
Publication history
Published online: September 26, 2018
Accepted:
September 20,
2018
Received:
September 18,
2018
Identification
Copyright
© 2018 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
