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Table 1 Baseline clinical, analytical and demographic characteristics, global and stratified by left atrial emptying fraction

From: Left atrial functional assessment and mortality in patients with severe aortic stenosis with sinus rhythm

Variable

All patients (n = 408)

LAEF < 37% (n = 116)

LAEF 37–53% (n = 139)

LAEF ≥ 54% (n = 153)

P Value

Male gender, n (%)

221 (53.5)

51 (44.0)

74 (53.2)

94 (61.4)

0.017

Age, years

74.4 ± 10.3

78.7 ± 9.8

75.2 ± 8.4

70.3 ± 1079

< 0.001

Body surface area, m2

1.78 ± 0.18

1.73 ± 0.17

1.77 ± 0.19

1.83 ± 0.17

< 0.001

Hypertension, n (%)

308 (76.6)

83 (74.1)

100 (73.0)

121 (81.8)

0.167

AF during follow-up, n (%)

62 (15.3)

35 (30.7)

17 (12.3)

7 (4.7)

< 0.001

Coronary artery disease, n (%)

136 (45.8)

35 (59.3)

45 (41.7)

55 (42.6)

0.061

Dyslipidemia, n (%)

268 (66.8)

58 (51.8)

95 (69.9)

112 (75.7)

< 0.001

Diabetes mellitus, n (%)

126 (31.3)

38 (33.9)

44 (32.1)

43 (29.1)

0.690

Chronic kidney disease, n (%)

168 (41.5)

63 (54.3)

65 (46.8)

39 (26.4)

< 0.001

Stage 5 CKD, n (%)

15 (3.8)

5 (4.3)

5 (3.6)

5 (3.5)

0.929

Terminal neoplasia, n (%)

6 (1.5)

2 (1.8)

3 (2.2)

1 (0.7)

0.583

Hepatic cirrhosis, n (%)

7 (1.8)

0 (0.0)

5 (3.6)

2 (1.4)

0.087

Previous malignancy, n (%)

63 (15.7)

19 (17.0)

26 (19.0)

18 (12.2)

0.270

Chronic lung disease, n (%)

36 (9.0)

14 (12.5)

13 (9.5)

9 (6.1)

0.199

Previous stroke/TIA, n (%)

41 (10.2)

14 (12.5)

9 (6.6)

18 (12.2)

0.202

Katz index ≤4*, n (%)

64 (15.9)

32 (28.3)

17 (12.4)

13 (8.8)

< 0.001

Dementia, n (%)

22 (5.5)

10 (8.8)

6 (4.4)

5 (3.4)

0.129

GFR, mL/min/1.73 m12

66 ± 28

57 ± 26

65 ± 28

76 ± 27

< 0.001

Systolic blood pressure, mmHg

131 ± 19

129 ± 22

128 ± 16

137 ± 19

0.001

Diastolic blood pressure, mmHg

69 ± 14

68 ± 16

68 ± 14

72 ± 13

0.083

Heart rate, beats per minute

75 ± 15

78 ± 17

75 ± 14

74 ± 14

0.149

Sodium, mmol/L

139 ± 3.0

138 ± 3.9

139 ± 2.7

140 ± 2.3

0.001

Creatinine, mg/dL

1.25 ± 1.07

1.36 ± 1.01

1.30 ± 1.2

1.11 ± 0.96

0.123

Hemoglobin, g/dL

12.7 ± 3.2

11.9 ± 1.7

12.9 ± 4.9

13.1 ± 1.7

0.006

Aspartate aminotransferase, IU/L

26 ± 16

27 ± 11

28 ± 21

24.1 ± 13

0.106

Alanine aminotransferase, IU/L

25 ± 22

27 ± 24

23 ± 17

25 ± 21

0.276

Alkaline phosphatase, IU/L

83 ± 50

93 ± 41

79 ± 28

80 ± 68

0.077

Gamma-glutamyltransferase, IU/L

44 ± 62

55 ± 77

38 ± 47

41 ± 60

0.107

Total bilirubin, mg/dL

0.9 ± 3.3

0.7 ± 0.4

0.7 ± 0.4

1.3 ± 5.3

0.344

International normalized ratio

1.2 ± 0.4

1.3 ± 0.5

1.2 ± 0.5

1.1 ± 0.1

0.001

Antiplatelet, n (%)

177 (49.6)

57 (54.8)

57 (46.3)

63 (48.5)

0.424

Statin, n (%)

238 (66.7)

64 (61.5)

84 (68.3)

90 (69.2)

0.414

ACEi or ARB, n (%)

228 (63.7)

69 (65.7)

70 (56.9)

89 (68.5)

0.142

Calcium-channel blocker, n (%)

75 (21.0)

18 (17.3)

23 (18.7)

34 (26.2)

0.189

MRA, n (%)

29 (8.1)

11 (10.6)

13 (10.6)

5 (3.8)

0.082

Diuretic, n (%)

244 (68.2)

80 (76.2)

87 (70.7)

77 (59.2)

0.016

Oral antidiabetic, n (%)

87 (24.3)

22 (21.2)

30 (24.2)

35 (26.9)

0.593

Beta-blocker, n (%)

154 (43.1)

51 (49.0)

50 (40.7)

53 (40.8)

0.353

Insulin, n (%)

49 (13.7)

22 (21.2)

13 (10.5)

14 (10.8)

0.031

Surgical AVR only, n (%)Ŧ

154 (65.8)

18 (54.5)

64 (71.1)

39 (64.9)

0.220

AVR and aorta replacement, n (%)Ŧ

15 (6.4)

3 (9.1)

4 (4.4)

8 (7.2)

0.579

AVR and CABG, n (%)Ŧ

45 (19.2)

6 (18.2)

15 (16.7)

24 (21.6)

0.666

Percutaneous AVR, n (%)Ŧ

18 (7.7)

5 (15.2)

7 (7.8)

6 (5.4)

0.182

AVR bypass time, minutes

71.1 ± 25.7

66.6 ± 16.3

68.9 ± 30.5

74.3 ± 23.3

0.235

AVR aortic clamping time, minutes

42.2 ± 11.4

40.5 ± 9.9

41.9 ± 11.6

42.9 ± 11.8

0.618

AVR procedural complications, n (%)Ŧ

10 (4.4%)

0 (0.0)

5 (5.7)

5 (4.6)

0.421

  1. ACEi denotes angiotensin-converting-enzyme inhibitor, AF atrial fibrillation, ARB angiotensin receptor blocker, AVR aortic valve replacement, CABG coronary artery bypass grafting, CKD chronic kidney disease, GFR glomerular filtration rate (using Modification of Diet in Renal Disease formula), IU international units, MRA mineralocorticoid receptor antagonist, TIA transient ischemic attack.
  2. * Katz index of independence in activities of daily living, ranging from 6 (patient independent) to 0 (patient very dependent)
  3. Ŧ Percentage relative to patients that were submitted to AVR.