Body mass index and prognostic outcomes after transcatheter aortic valve replacement:Insights from the Chinese Cardiovascular Association Database-National Transcatheter Valve Therapeutics Registry  

作　　者：Qiong Liu Sanjay Jaiswal Qifeng Zhu Jianfang Luo Yan Wang Daxin Zhou Mao Chen Xianbao Liu Jian’an Wang 

机构地区：[1]Department of Cardiology,The Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,Zhejiang 310009,China [2]State Key Laboratory of Transvascular Implantation Devices,Hangzhou,Zhejiang 310009,China [3]Heart Regeneration and Repair Key Laboratory of Zhejiang Province,Hangzhou,Zhejiang 310009,China [4]Guangdong Cardiovascular Institute,Guangdong Provincial People’s Hospital,Guangdong Academy of Medical Sciences,Guangzhou,Guangdong 510180,China [5]Institute of Cardiovascular Diseases,Xiamen Cardiovascular Hospital,Xiamen University,Xiamen,Fujian 361004,China [6]Department of Cardiology,Zhongshan Hospital,Fudan University,Shanghai Institute of Cardiovascular Diseases,Shanghai 200032,China [7]Department of Cardiology,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China

出　　处：《Chinese Medical Journal》2024年第23期2880-2882,共3页中华医学杂志(英文版)

基　　金：granted by Healthy Zhejiang One Million People Cohort(No.K-20230085).

摘　　要：To the Editor:Transcatheter aortic valve replacement(TAVR)has witnessed a rapid global surge and emerged as a viable alternative for treating aortic stenosis patients.Obesity,a well-established risk factor for the development of cardiovascular diseases,significantly contributes to disease burden.Research on TAVR patients,predominantly from Western nations,has highlighted a decreased risk associated with overweight or obesity,[1–3]which is known as the“obesity paradox”phenomenon.However,the body mass index(BMI)of East Asian patients undergoing TAVR is notably lower than that of Western countries.[4]Consequently,the BMI–mortality relationship seen in Western countries may not be directly applicable to Asia.We aimed to examine both categorical and dose-response associations between BMI and prognostic outcomes in patients undergoing TAVR within a Chinese national cohort.

关 键 词：AORTIC viable index 

分 类 号：R65[医药卫生—外科学]