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Evaluation of Longitudinal Trajectory of Functional Tricuspid Regurgitation on the Risk of Right Ventricular Dysfunction after Mitral Valve Replacement
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  • Guo-Qing Du,
  • Qi-qi Liu,
  • Yi Du,
  • Rui Zhang,
  • Wen-qian Shen
Guo-Qing Du
Guangdong Provincial People's Hospital
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Qi-qi Liu
Second Affiliated Hospital of Harbin Medical University
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Yi Du
The Eighth Affiliated Hospital of Sun Yat-sen University Shenzhen China
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Rui Zhang
Second Affiliated Hospital of Harbin Medical University
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Wen-qian Shen
Second Affiliated Hospital of Harbin Medical University
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Abstract

Objective Functional tricuspid regurgitation(FTR) levels can vary over time and its longitudinal changing patterns may predict right ventricular dysfunction(RVD) risk. We aim to identify different trajectories of FTR in those who received mitral valve replacement(MVR) and investigate the association between longitudinal trajectory groups and RVD risk in a cohort study. Methods and results A prospective cohort study, reported usual FTR levels at baseline in 2005–2015 and the participants of MVR have been followed up for 5~6 years, approximately every one years, and so far, the data have been collected across five subsequent phases. Five-year longitudinal trajectories of FTR were identified using group-based trajectory modelling(GBTM). We identified 3 distinct trajectories using a GBTM, labeled by initial value and changing pattern: stable group(258/378, 68.2%), increasing-slow group(67/378, 17.6%) and increasing-fast group(53/378, 14.2%). Treating the stable group as the reference, the age- and sex-adjusted odds ratio(OR) was 25.84 (95% confidence interval, 11.78-56.65) for the increasing-slow group and 139.94(95% confidence interval, 45.47-430.68) for the increasing-fast group by logistic regression model. After adjustment for every potential confounding factors, the OR is 14.21(95% confidence interval, 4.36-46.33)、49.34(95% confidence interval, 8.88-273.87) respectively. Conclusions The longitudinal trajectories of worsening FTR were mostly associated with increased risk of RVD outcomes, which is independent of other factors including FTR levels. These findings have implications for intervention and prevention of RVD among individuals who received MVR.
12 Aug 2022Submitted to Journal of Cardiac Surgery
12 Aug 2022Assigned to Editor
12 Aug 2022Submission Checks Completed
12 Aug 2022Review(s) Completed, Editorial Evaluation Pending
12 Aug 2022Editorial Decision: Accept