Research Article

Association between Comorbidities and Progression of Transvalvular Pressure Gradients in Patients with Moderate and Severe Aortic Valve Stenosis

Table 3

Clinical and laboratory characteristics.

Total cohortSlow progression (Pmean < 5 mmHg/year)Fast Progression (Pmean ≥ 5  mmHg/year) value

Age at follow-up (years)77.7 ± 9.477.5 ± 9.878 ± 8.60.65
Number of comorbidities3.1 ± 1.63.3 ± 1.52.9 ± 1.70.036
Annual progression in AV Pmean (mmHg/year)4.5 ± 4.61.8 ± 1.69.5 ± 4.2<0.001
Annual progression in AV Vmax (m/s/year)0.08 ± 0.180.01 ± 0.120.22 ± 0.18<0.001
Annual progression in AVA VTI (cm2/year)−0.14 ± 0.14−0.12 ± 0.13−0.18 ± 0.16<0.001
Baseline LVEF <50% (n (%))69 (17.2%)49 (18.7%)20 (14.3%)0.26
LDL-cholesterol (mg/dl)103.8 ± 34.4100 ± 32.6110.8 ± 36.60.005
HDL-cholesterol (mg/dl)52.0 ± 16.750.6 ± 16.354.7 ± 17.10.025
HbA1c (%)6.3 ± 16.34 ± 16.28 ± 10.65
Hemoglobin (g/dl)12.9 ± 3.812.7 ± 2.913.1 ± 5.10.32
C-reactive protein (mg/dl)1.7 ± 2.41.9 ± 2.71.4 ± 1.90.025
Creatinine (mg/dl)1.5 ± 1.21.5 ± 1.11.4 ± 1.30.72

AV, aortic valve; Pmean, mean transaortic pressure gradient; Vmax, maximum velocity by continuous-wave Doppler; AVA VTI, aortic valve area calculated by the velocity time integral; LVEF, left ventricular ejection fraction; LDL, low-density lipoprotein; HDL, high-density lipoprotein; HbA1c, hemoglobin A1c.