PMID- 33666353 OWN - NLM STAT- MEDLINE DCOM- 20210702 LR - 20220531 IS - 2055-5822 (Electronic) IS - 2055-5822 (Linking) VI - 8 IP - 3 DP - 2021 Jun TI - Calculated plasma volume status and outcomes in patients undergoing transcatheter aortic valve replacement. PG - 1990-2001 LID - 10.1002/ehf2.13270 [doi] AB - AIMS: This study investigated the prognostic value of plasma volume status (PVS) in patients who underwent transcatheter aortic valve replacement (TAVR). METHODS AND RESULTS: Plasma volume status was calculated in 2588 patients who underwent TAVR using data from the Japanese multicentre registry. All-cause mortality and heart failure hospitalization (HFH) within 2 years of TAVR were compared among the PVS quartiles (Q1, PVS < 5.5%; Q2, PVS 5.5-13.5%; Q3, PVS 13.5-21.0%; and Q4, PVS >/= 21.0%). Subgroups were stratified by the PVS cut-off value combined with the New York Heart Association (NYHA) class as follows: low PVS with NYHA I/II (n = 959), low PVS with NYHA III/IV (n = 845), high PVS with NYHA I/II (n = 308), and high PVS with NYHA III/IV (n = 476). The cumulative all-cause mortality and HFH within 2 years of TAVR significantly increased with increasing PVS quartiles [8.5%, 16.8%, 19.2%, and 27.0% (P < 0.001) and 5.8%, 8.7%, 10.3%, and 12.9% (P < 0.001), respectively]. The high-PVS group regardless of the NYHA class had a higher all-cause mortality and HFH [9.6%, 18.2%, 24.5%, and 30.4% (P < 0.001) and 6.1%, 10.4%, 14.1%, and 11.3% (P < 0.001)]. In a Cox regression multivariate analysis, the PVS values of Q3 and Q4 had independently increased all-cause mortality [hazard ratio (HR), 1.50 and 1.64 (P = 0.017 and P = 0.008), respectively], and Q4 had independently increased HFH (HR, 1.98, P = 0.005). The low PVS with NYHA III/IV, high PVS with NYHA I/II, and high PVS with NYHA III/IV also had significantly increased all-cause mortality [HR, 1.45, 1.73, and 1.86 (P = 0.006, P = 0.002, and P < 0.001), respectively] and HFH [HR, 1.52, 2.21, and 1.70 (P = 0.049, P = 0.002, and P = 0.031), respectively]. CONCLUSIONS: Plasma volume status is useful for predicting all-cause mortality and HFH after TAVR. CI - (c) 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. FAU - Shimura, Tetsuro AU - Shimura T AD - Department of Cardiology, Toyohashi Heart Center, 21-1 Gobudori, Oyamachyo, Toyohashi, Aichi, 441-8530, Japan. FAU - Yamamoto, Masanori AU - Yamamoto M AD - Department of Cardiology, Toyohashi Heart Center, 21-1 Gobudori, Oyamachyo, Toyohashi, Aichi, 441-8530, Japan. AD - Department of Cardiology, Nagoya Heart Center, Nagoya, Japan. FAU - Yamaguchi, Ryo AU - Yamaguchi R AD - Department of Cardiology, Toyohashi Heart Center, 21-1 Gobudori, Oyamachyo, Toyohashi, Aichi, 441-8530, Japan. FAU - Adachi, Yuya AU - Adachi Y AD - Department of Cardiology, Toyohashi Heart Center, 21-1 Gobudori, Oyamachyo, Toyohashi, Aichi, 441-8530, Japan. FAU - Sago, Mitsuru AU - Sago M AD - Department of Cardiology, Toyohashi Heart Center, 21-1 Gobudori, Oyamachyo, Toyohashi, Aichi, 441-8530, Japan. FAU - Tsunaki, Tatsuya AU - Tsunaki T AD - Department of Cardiology, Toyohashi Heart Center, 21-1 Gobudori, Oyamachyo, Toyohashi, Aichi, 441-8530, Japan. FAU - Kagase, Ai AU - Kagase A AD - Department of Cardiology, Nagoya Heart Center, Nagoya, Japan. FAU - Koyama, Yutaka AU - Koyama Y AD - Department of Cardiology, Nagoya Heart Center, Nagoya, Japan. FAU - Otsuka, Toshiaki AU - Otsuka T AD - Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan. AD - Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan. FAU - Yashima, Fumiaki AU - Yashima F AD - Department of Cardiology, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan. AD - Department of Cardiology, Keio University School of Medicine, Tokyo, Japan. FAU - Tada, Norio AU - Tada N AD - Department of Cardiology, Sendai Kosei Hospital, Sendai, Japan. FAU - Naganuma, Toru AU - Naganuma T AD - Department of Cardiology, New Tokyo Hospital, Matsudo, Chiba, Japan. FAU - Yamawaki, Masahiro AU - Yamawaki M AD - Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan. FAU - Yamanaka, Futoshi AU - Yamanaka F AD - Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan. FAU - Shirai, Shinichi AU - Shirai S AD - Department of Cardiology, Kokura Memorial Hospital, Kokura, Japan. FAU - Mizutani, Kazuki AU - Mizutani K AD - Department of Cardiology, Osaka City University Graduate School of Medicine, Osaka, Japan. FAU - Tabata, Minoru AU - Tabata M AD - Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan. FAU - Ueno, Hiroshi AU - Ueno H AD - Department of Cardiology, Toyama University Hospital, Toyama, Japan. FAU - Takagi, Kensuke AU - Takagi K AD - Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Gifu, Japan. FAU - Watanabe, Yusuke AU - Watanabe Y AD - Department of Cardiology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Hayashida, Kentaro AU - Hayashida K AD - Department of Cardiology, Keio University School of Medicine, Tokyo, Japan. CN - OCEAN-TAVI investigators LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20210305 PL - England TA - ESC Heart Fail JT - ESC heart failure JID - 101669191 SB - IM CIN - ESC Heart Fail. 2021 Aug;8(4):3442-3443. PMID: 34121350 MH - *Aortic Valve Stenosis/diagnosis/surgery MH - Humans MH - Plasma Volume MH - Registries MH - *Transcatheter Aortic Valve Replacement MH - Treatment Outcome PMC - PMC8120354 OTO - NOTNLM OT - Heart failure OT - OCEAN-TAVI OT - Plasma volume status OT - TAVR OT - Transcatheter aortic valve replacement COIS- M. Yamamoto, N.T., T.N., S.S., K.M., Y.W., H.U., and M.T. are clinical proctors of Edwards Lifesciences and Medtronic. Y.K., K.T., and K.H. are clinical proctors of Edwards Lifesciences. K.H. receives lecture fee from Edwards Lifesciences and Daiichi Sankyo Company. M. Yamamoto receives lecture fee from Edwards Lifesciences, Medtronic, and Daiichi Sankyo Company. S.S. receives lecture fee from Edwards Lifesciences, Medtronic, Abbott Vascular, and Daiichi Sankyo Company. Y.W. receives lecture fee from Edwards Lifesciences and Medtronic. T.N. receives lecture fee from Edwards Lifesciences and Medtronic. K.T. receives lecture fee from Edwards Lifesciences, Abbott, and Daiichi Sankyo Company. N.T. receives lecture fee from Edwards Lifesciences and Medtronic. M.T. receives lecture fee from Edwards Lifesciences, Medtronic, Terumo, Abbott, LivaNova, and Century Medical. K.M. receives lecture fee from Edwards Lifesciences, Abbott, Boston Scientific, Asteras Amgen, and Sanofi. H.U. receives lecture fee from Medtronic. F. Yashima receives lecture fee from Daiichi Sankyo Company. The remaining authors have nothing to disclose. EDAT- 2021/03/06 06:00 MHDA- 2021/07/03 06:00 PMCR- 2021/03/05 CRDT- 2021/03/05 08:41 PHST- 2020/10/31 00:00 [revised] PHST- 2020/08/12 00:00 [received] PHST- 2021/02/08 00:00 [accepted] PHST- 2021/03/06 06:00 [pubmed] PHST- 2021/07/03 06:00 [medline] PHST- 2021/03/05 08:41 [entrez] PHST- 2021/03/05 00:00 [pmc-release] AID - EHF213270 [pii] AID - 10.1002/ehf2.13270 [doi] PST - ppublish SO - ESC Heart Fail. 2021 Jun;8(3):1990-2001. doi: 10.1002/ehf2.13270. Epub 2021 Mar 5.