Clinical Study

Tricuspid Valve Regurgitation after Orthotopic Heart Transplantation: Prevalence and Etiology

Table 3

A univariate analysis of risk factors for late significant (at least mild-moderate) TR.

Risk factorNo TR/mild TR
At least mild-moderate TR
value

Number of EMBsAverage total number of EMBs taken17.5 ± 5.920.7 ± 6.50.045
Average number of EMBs taken before TR development17.5 ± 5.915.7 ± 9.10.431

Number of ACRs*Median number of ACRs ≥ grade 1R**6 (0–24)7 (2–23)0.087
Median number of ACRs ≥ grade 2R**0 (0–7)1 (0–8)0.712

  Average MPAP (mmHg)36.8 ± 13.747.0 ± 12.90.064
Pre-transplant hemodynamic parametersAverage PVR (Wood units)3.3 ± 2.25.1 ± 3.00.070
  Average right atrial pressure (mmHg)11.4 ± 6.514.8 ± 7.20.280

Surgical technique employedBiatrial %34.4%65%0.009

Any CAV
33.8%76.2%<0.001
Cardiac allograft vasculopathySignificant CAV
25.4%71.4%<0.001
2 or 3 vessels CAV
18.5%57.1%<0.001

TR: tricuspid regurgitation; EMBs: endomyocardial biopsies; ACRs: acute cellular rejections; MPAP: mean pulmonary arterial pressure; PVR: pulmonary vascular resistance; CAV: cardiac allograft vasculopathy.
* Data are presented as median and range (min–max).
** According to the revised ISHLT criteria.