Impact of New York Heart Association Functional Class on Outcomes After Transcatheter Aortic Valve Implantation

Taniguchi, Tomohiko; Shirai, Shinichi; Ando, Koji; Arai, Yoshinori; Soga, Yoshiharu; Hayashi, Masaomi; Isotani, Akihiro; Tada, Norio; Watanabe, Yusuke; Naganuma, Toru; Yamanaka, Futoshi; Yamawaki, Masahiro; Mizutani, Kazuki; Tabata, Minoru; Ueno, Hiroshi; Kuwabara, Kazuaki; Takagi, Kensuke; Yashima, Fumiaki; Yamamoto, Masanori; Hayashida, Kentaro

doi:10.1016/j.carrev.2021.07.022

Cited by 5 publications

(1 citation statement)

References 26 publications

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“…This aspect probably can be explained considering that NYHA class reflects the status of advanced heart failure, so patients with higher NYHA class are more compromised and require longer hospitalization. Recently, Taniguchi et al 20 reported that long-term outcomes of patients with lower NYHA class were better than those with NYHA class 3/4 in some selected patients undergoing TAVI.…”

Section: Discussionmentioning

confidence: 99%

Predictors of early discharge after transcatheter aortic valve implantation: insight from the CoreValve ClinicalService

Angelillis

Costa

Giannini

et al. 2022

Journal of Cardiovascular Medicine

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AimsThe aim of this study was to minimize the procedure, and reduce the length of hospital stay (LoS) is the future objective for transcatheter aortic valve replacement (TAVI).Aims of the study are to identify procedural and electrocardiographical predictors of fast-track discharge in patients who underwent TAVI.MethodsPatients treated with TAVI included in the One Hospital ClinicalService project were categorized according to the LoS. ‘Fast-Track’ population, with a postprocedural LoS less than or equal to 3 days, was compared with the ‘Slow-Track’ population with a postprocedural LoS greater than 3 days.ResultsOne thousand five hundred and one patients were collected. Despite single baseline characteristics being almost similar between the two groups, Slow-Track group showed a higher surgical risk (P < 0.001). Patients in the Slow-Track group were more frequently treated with general anaesthesia (P = 0.002) and less frequently predilated (P < 0.001) and received a lower amount of contrast media. No difference between Slow-Track and Fast-Track patients was observed at 30 days in death and in cardiovascular rehospitalization.In the multivariable analysis, STS score of at least 4% [odds ratio (OR): 1.64; P = 0.01], general anaesthesia (OR: 2.80; P = 0.03), predilation (OR: 0.45; P < 001), NYHA 3–4 at baseline (OR: 1.65; P = 0.01), AVB I/LBBB/RBBB onset (OR: 2.41; P < 0.001) and in-hospital new PM (OR: 2.63; P < 0.001) were independently associated with a higher probability of Slow-Track.ConclusionFast-Track patients were safely discharged home showing no difference in clinical outcomes after discharge up to 30 days compared with the Slow-Track group. The STS score, general anaesthesia, NYHA 3--4 at baseline, in-hospital onset of conduction disturbances and new PM implantation after TAVI turned out to be predictors of Slow-Track.

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Section: Discussionmentioning

confidence: 99%