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AORTIC VALVE REPLACEMENT AND OUTCOMES IN PATIENTS WITH SEVERE AORTIC STENOSIS: IS IT BLACK OR WHITE?Yankey, George; Samad, Zainab; Wu, Angie; Chiswell, Karen; Jackson, Larry; Wilson, Jimica; Jones, Terrell; Thomas, Kevin
Journal of the American College of Cardiology, 03/2018, Letnik: 71, Številka: 11Journal Article
Methods Our analysis included adults patients at Duke University Medical Center between 1999-2013, who met criteria for AVR based on echocardiographic indices (aortic valve area <1m/s2 or mean gradient >40mmHg) plus one of three additional criteria: ejection fraction<50%, evidence of heart failure, or need for coronary artery bypass surgery. After adjustment for demographics and risk factors, differences in AVR utilization were attenuated (aHR 0.77, 95% CI 0.53-1.12, p-value 0.18) and there were no racial differences in mortality (aHR 0.72, 95% CI 0.48-1.09, p-value 0.12).
