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Aortic valve calcification and myocardial fibrosis determine outcome following transcatheter aortic valve replacement.

Ruben EvertzSebastian HubBo Eric BeuthnerSören J BackhausTorben LangeAlexander SchulzKarl ToischerTim SeidlerStephan von HaehlingMiriam PulsJohannes T KowallickElisabeth M ZeisbergGerd HasenfußAndreas Schuster
Published in: ESC heart failure (2023)
MF is associated with adverse CV outcome following TAVR, which is most prevalent in low EF situations. In the presence of large MF burden, patients with large AVC have better outcome following TAVR. Conversely, worse outcome in large MF and relatively little AVC may be explained by a relative prominence of an underlying cardiomyopathy. The better survival rates in large AVC patients following TAVR indicate TAVR induced relief of severe AS-associated pressure overload with subsequently improved outcome.
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