Sex differences in patients undergoing transcatheter aortic valve replacement in Asia
Objectives Transcatheter aortic valve replacement (TAVR) is increasingly performed. Physically small Asians have smaller aortic root and peripheral vessel anatomy. The influence of gender of Asian patients undergoing TAVR is unknown and may affect outcomes. The aim of this study was to assess sex di...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2021-02-01
|
| Series: | Open Heart |
| Online Access: | https://openheart.bmj.com/content/8/1/e001541.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846170506934353920 |
|---|---|
| author | Yusuke Watanabe Kentaro Hayashida Mao Chen Wei-Hsian Yin Hsien-Li Kao Mao-Shin Lin Paul T L Chiam Michael K Y Lee Fabio Enrique Posas Mann Chandavimol Wacin Buddhari Timothy C Dy Ngoc Quang Nguyen Won Jang Kim Kiyuk Chang Yat-Yin Lam Hung Manh Pham Shaiful Azmi Yahaya Kay Woon Ho Wenzhi Pan Xian-bao Liu Jian'an Wang Hyo Soo Kim |
| author_facet | Yusuke Watanabe Kentaro Hayashida Mao Chen Wei-Hsian Yin Hsien-Li Kao Mao-Shin Lin Paul T L Chiam Michael K Y Lee Fabio Enrique Posas Mann Chandavimol Wacin Buddhari Timothy C Dy Ngoc Quang Nguyen Won Jang Kim Kiyuk Chang Yat-Yin Lam Hung Manh Pham Shaiful Azmi Yahaya Kay Woon Ho Wenzhi Pan Xian-bao Liu Jian'an Wang Hyo Soo Kim |
| author_sort | Yusuke Watanabe |
| collection | DOAJ |
| description | Objectives Transcatheter aortic valve replacement (TAVR) is increasingly performed. Physically small Asians have smaller aortic root and peripheral vessel anatomy. The influence of gender of Asian patients undergoing TAVR is unknown and may affect outcomes. The aim of this study was to assess sex differences in Asian patients undergoing TAVR.Methods Patients undergoing TAVR from eight countries were enrolled. In this retrospective analysis, we examined differences in characteristics, 30-day clinical outcomes and 1-year survival between female and male Asian patients.Results Eight hundred and seventy-three patients (54.4% women) were included. Women were older, smaller and had less coronary artery and lung disease but tended to have higher logistic EuroSCOREs. Smaller prostheses were used more often in women. Major vascular complications occurred more frequently in women (5.5% vs 1.8%, p<0.01); however, 30-day stroke and mortality (women vs men: 1.5% vs 1.6%, p=0.95% and 4.3% vs 3.4%, p=0.48) were similar. Functional status improvement was significant and comparable between the sexes. Conduction disturbance and permanent pacemaker requirements (11.2% vs 9.0%, p=0.52) were also similar as was 1-year survival (women vs men: 85.6% vs 88.2%, p=0.25). The only predictors of 30-day mortality were major vascular injury in women and age in men.Conclusions Asian women had significantly smaller stature and anatomy with some differences in clinical profiles. Despite more frequent major vascular complications, women had similar 30-day stroke or mortality rates. Functional status improvement was significant and comparable between the sexes. Conduction disturbance and permanent pacemaker requirements were similar as was 1-year survival. |
| format | Article |
| id | doaj-art-1e30b983038f446eba1b5b67a8f4813a |
| institution | Kabale University |
| issn | 2053-3624 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Open Heart |
| spelling | doaj-art-1e30b983038f446eba1b5b67a8f4813a2024-11-11T19:25:10ZengBMJ Publishing GroupOpen Heart2053-36242021-02-018110.1136/openhrt-2020-001541Sex differences in patients undergoing transcatheter aortic valve replacement in AsiaYusuke Watanabe0Kentaro Hayashida1Mao Chen2Wei-Hsian Yin3Hsien-Li Kao4Mao-Shin Lin5Paul T L Chiam6Michael K Y Lee7Fabio Enrique Posas8Mann Chandavimol9Wacin Buddhari10Timothy C Dy11Ngoc Quang Nguyen12Won Jang Kim13Kiyuk Chang14Yat-Yin Lam15Hung Manh Pham16Shaiful Azmi Yahaya17Kay Woon Ho18Wenzhi Pan19Xian-bao Liu20Jian'an Wang21Hyo Soo Kim22Department of Infection Prevention and Control, Tokyo Medical University Hospital, Shinjuku, Tokyo, JapanDepartment of Cardiology, Keio University School of Medicine, Tokyo, JapanDepartment of Cardiology, Sichuan University West China Hospital, Chengdu, ChinaCardiology, Heart Center, Cheng Hsin General Hospital, Taipei, TaiwanCardiology, National Taiwan University Hospital, Taipei, TaiwanCardiology, National Taiwan University Hospital, Taipei, TaiwanThe Heart and Vascular Centre, Mount Elizabeth Medical Centre, SingaporeDepartment of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong KongDepartment of Cardiology, St. Luke`s Medical Centre, Manila, PhilippinesDivision of Cardiology, Ramathibodi Hospital, Bangkok, ThailandMedicine, Chulalongkorn University, Bangkok, ThailandHeart Institute, Chinese General Hospital and Medical Centre, Manila, PhilippinesDepartment of Cardiology, Vietnam National Heart Institute, Hanoi, VietnamDepartment of Cardiology, CHA Bundang Medical Centre, Seoul, Republic of KoreaCardiology, The Catholic University of Korea Seoul St. Mary`s Hospital, Seoul, Republic of KoreaHong Kong Asia Heart Centre, Canossa Hospital, Hong Kong, Hong KongDepartment of Cardiology, Vietnam National Heart Institute, Hanoi, VietnamDepartment of Cardiology, National Heart Institute, Kuala Lumpur, MalaysiaDepartment of Cardiology, National Heart Centre Singapore, Singapore1 Department of Cardiology, Zhongshan Hospital Fudan University, Shanghai, Shanghai, ChinaDepartment of Cardiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaCardiology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of KoreaObjectives Transcatheter aortic valve replacement (TAVR) is increasingly performed. Physically small Asians have smaller aortic root and peripheral vessel anatomy. The influence of gender of Asian patients undergoing TAVR is unknown and may affect outcomes. The aim of this study was to assess sex differences in Asian patients undergoing TAVR.Methods Patients undergoing TAVR from eight countries were enrolled. In this retrospective analysis, we examined differences in characteristics, 30-day clinical outcomes and 1-year survival between female and male Asian patients.Results Eight hundred and seventy-three patients (54.4% women) were included. Women were older, smaller and had less coronary artery and lung disease but tended to have higher logistic EuroSCOREs. Smaller prostheses were used more often in women. Major vascular complications occurred more frequently in women (5.5% vs 1.8%, p<0.01); however, 30-day stroke and mortality (women vs men: 1.5% vs 1.6%, p=0.95% and 4.3% vs 3.4%, p=0.48) were similar. Functional status improvement was significant and comparable between the sexes. Conduction disturbance and permanent pacemaker requirements (11.2% vs 9.0%, p=0.52) were also similar as was 1-year survival (women vs men: 85.6% vs 88.2%, p=0.25). The only predictors of 30-day mortality were major vascular injury in women and age in men.Conclusions Asian women had significantly smaller stature and anatomy with some differences in clinical profiles. Despite more frequent major vascular complications, women had similar 30-day stroke or mortality rates. Functional status improvement was significant and comparable between the sexes. Conduction disturbance and permanent pacemaker requirements were similar as was 1-year survival.https://openheart.bmj.com/content/8/1/e001541.full |
| spellingShingle | Yusuke Watanabe Kentaro Hayashida Mao Chen Wei-Hsian Yin Hsien-Li Kao Mao-Shin Lin Paul T L Chiam Michael K Y Lee Fabio Enrique Posas Mann Chandavimol Wacin Buddhari Timothy C Dy Ngoc Quang Nguyen Won Jang Kim Kiyuk Chang Yat-Yin Lam Hung Manh Pham Shaiful Azmi Yahaya Kay Woon Ho Wenzhi Pan Xian-bao Liu Jian'an Wang Hyo Soo Kim Sex differences in patients undergoing transcatheter aortic valve replacement in Asia Open Heart |
| title | Sex differences in patients undergoing transcatheter aortic valve replacement in Asia |
| title_full | Sex differences in patients undergoing transcatheter aortic valve replacement in Asia |
| title_fullStr | Sex differences in patients undergoing transcatheter aortic valve replacement in Asia |
| title_full_unstemmed | Sex differences in patients undergoing transcatheter aortic valve replacement in Asia |
| title_short | Sex differences in patients undergoing transcatheter aortic valve replacement in Asia |
| title_sort | sex differences in patients undergoing transcatheter aortic valve replacement in asia |
| url | https://openheart.bmj.com/content/8/1/e001541.full |
| work_keys_str_mv | AT yusukewatanabe sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT kentarohayashida sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT maochen sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT weihsianyin sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT hsienlikao sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT maoshinlin sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT paultlchiam sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT michaelkylee sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT fabioenriqueposas sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT mannchandavimol sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT wacinbuddhari sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT timothycdy sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT ngocquangnguyen sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT wonjangkim sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT kiyukchang sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT yatyinlam sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT hungmanhpham sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT shaifulazmiyahaya sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT kaywoonho sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT wenzhipan sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT xianbaoliu sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT jiananwang sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia AT hyosookim sexdifferencesinpatientsundergoingtranscatheteraorticvalvereplacementinasia |