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Table 2 Baseline characteristics stratified by types of VHD

From: Assessment of cardio-renal-hepatic function in patients with valvular heart disease: a multi-biomarker approach—the cardio-renal-hepatic score

Variables

AS

(n = 328)

AR

(n = 780)

MS

(n = 320)

MR

(n = 1677)

TR

(n = 1085)

MVHD

(n = 1814)

P Value

Age, yrs

64.38 ± 11.32

60.54 ± 14.23

55.81 ± 11.09

61.38 ± 12.65

62.75 ± 16.81

63.64 ± 13.02

 < 0.001

Male sex

196 (59.8)

606 (77.7)

96 (30.0)

1029 (61.4)

515 (47.5)

971 (53.5)

 < 0.001

BMI, kg/m2

24.06 ± 3.31

24.00 ± 3.39

23.44 ± 3.28

23.98 ± 3.64

23.19 ± 4.13

23.15 ± 3.64

 < 0.001

Current smoker

62 (18.9)

173 (22.2)

26 (8.1)

366 (21.8)

122 (11.2)

236 (13.0)

 < 0.001

Hypertension

138 (42.1)

442 (56.7)

63 (19.7)

793 (47.3)

463 (42.7)

758 (41.8)

 < 0.001

Hyperlipidemia

79 (24.1)

143 (18.3)

46 (14.4)

273 (16.3)

107 (9.9)

177 (9.8)

 < 0.001

Diabetes

45 (13.7)

77 (9.9)

23 (7.2)

327 (19.5)

166 (15.3)

289 (15.9)

 < 0.001

Coronary artery disease

116 (35.4)

294 (37.7)

48 (15)

791 (47.2)

342 (31.5)

606 (33.4)

 < 0.001

 Prior MI

18 (5.5)

64 (8.2)

6 (1.9)

313 (18.7)

98 (9.0)

180 (9.9)

 < 0.001

 Prior PCI

26 (7.9)

110 (14.1)

11 (3.4)

375 (22.4)

131 (12.1)

194 (10.7)

 < 0.001

 Prior CABG

10 (3.0)

17 (2.2)

6 (1.9)

60 (3.6)

31 (2.9)

35 (1.9)

0.050

Cardiomyopathy

4 (1.2)

28 (3.6)

0 (0.0)

287 (17.1)

79 (7.3)

223 (12.3)

 < 0.001

Atrial fibrillation or flutter

21 (6.4)

72 (9.2)

145 (45.3)

367 (21.9)

408 (37.6)

787 (43.4)

 < 0.001

Chronic lung disease

16 (4.9)

54 (6.9)

6 (1.9)

93 (5.5)

130 (12.0)

128 (7.1)

 < 0.001

NYHA functional class

 I

83 (25.3)

300 (38.5)

80 (25.0)

493 (29.4)

440 (40.6)

372 (20.5)

 < 0.001

 II

85 (25.9)

258 (33.1)

106 (33.1)

363 (21.6)

203 (18.7)

349 (19.2)

 III

141 (43.0)

177 (22.7)

120 (37.5)

558 (33.3)

302 (27.8)

733 (40.4)

 IV

19 (5.8)

45 (5.8)

14 (4.4)

263 (15.7)

140 (12.9)

360 (19.8)

NT-proBNP, pg/ml

891.55 (276.05–2670.50)

508.75 (135.85–1925.00)

646.05 (301.68–1251.75)

1480.00 (486.10–3795.50)

1331.00 (474.10–3425.75)

2519.50 (1091.00–5825.75)

 < 0.001

ln(NT-proBNP)

6.74 ± 1.60

6.25 ± 1.76

6.42 ± 1.13

7.13 ± 1.61

7.09 ± 1.48

7.76 ± 1.33

 < 0.001

Hemoglobin, g/L

133.37 ± 18.18

136.18 ± 18.73

134.34 ± 16.49

133.00 ± 20.09

133.67 ± 24.94

129.80 ± 20.28

 < 0.001

Creatinine, μmol/L

76.00 (66.00–91.00)

83.95 (72.00–98.00)

75.00 (66.00–90.00)

84.11 (70.00–102.00)

80.80 (66.00–98.00)

84.00 (70.00–103.00)

 < 0.001

ln(Creatinine)

4.36 ± 0.27

4.45 ± 0.30

4.34 ± 0.24

4.46 ± 0.35

4.41 ± 0.36

4.48 ± 0.37

 < 0.001

Albumin, g/dl

4.11 ± 0.53

4.03 ± 0.49

4.18 ± 0.46

3.93 ± 0.51

3.91 ± 0.51

3.85 ± 0.50

 < 0.001

ALT, U/L

16.30 (12.00–24.00)

17.00 (11.73–26.00)

19.00 (14.00–27.00)

20.60 (14.00–33.0)

18.80 (13.00–30.00)

20.00 (14.00–33.00)

 < 0.001

Total bilirubin, mg/dl

0.68 (0.51–0.92)

0.73 (0.56–0.99)

0.78 (0.56–1.09)

0.81 (0.58–1.16)

0.92 (0.66–1.36)

1.00 (0.71–1.47)

 < 0.001

Direct bilirubin, mg/dl

0.22 (0.15–0.30)

0.23 (0.16–0.32)

0.25 (0.17–0.33)

0.25 (0.17–0.39)

0.31 (0.20–0.49)

0.33 (0.22–0.54)

 < 0.001

MELD-XI score

9.44 (9.44–10.67)

9.65 (9.44–11.49)

9.58 (9.44–11.13)

10.21 (9.44–12.22)

10.40 (9.44–12.82)

10.87 (9.44–13.45)

 < 0.001

LA, mm

39.93 ± 6.34

39.88 ± 6.42

51.25 ± 9.55

46.65 ± 8.55

41.00 ± 8.45

50.60 ± 9.85

 < 0.001

LVEDD, mm

50.12 ± 7.36

60.42 ± 10.35

46.86 ± 5.05

59.04 ± 10.06

45.89 ± 8.88

57.01 ± 11.31

 < 0.001

LVEF, %

61 (55–66)

58 (50–62)

61 (56–65)

50 (35–60.7)

59 (51–63)

52 (38–60)

 < 0.001

Pulmonary hypertension

38 (11.6)

63 (8.1)

127 (39.7)

492 (29.3)

673 (62.0)

1169 (64.4)

 < 0.001

Severe VHD

252 (76.8)

289 (37.1)

179 (55.9)

525 (31.3)

347 (32.0)

1101 (60.7)

 < 0.001

Valvular interventions

227 (69.2)

391 (50.1)

251 (78.4)

402 (24.0)

108 (10.0)

543 (29.9)

 < 0.001

Etiology

 Primary

328 (100.0)

547 (73.8)

320 (100.0)

639 (39.1)

355 (37.2)

959 (54.0)

 < 0.001

  Rheumatic

35 (10.7)

47 (8.6)

306 (95.6)

120 (18.8)

32 (9.0)

394 (41.1)

  Degenerative

200 (61.0)

376 (68.7)

12 (3.8)

346 (54.1)

182 (51.3)

425 (44.3)

  Congenital

87 (26.5)

100 (18.3)

1 (0.3)

78 (12.2)

129 (36.3)

84 (8.8)

  Others

6 (1.8)

24 (4.4)

1 (0.3)

95 (14.9)

12 (3.4)

56 (5.8)

 Secondary

0 (0.0)

194 (26.2)

0 (0.0)

997 (60.9)

600 (62.8)

816 (46.0)

  Ischemic

0 (0.0)

0 (0.0)

0 (0.0)

382 (38.3)

0 (0.0)

204 (25.0)

  Functional

0 (0.0)

194 (100.0)

0 (0.0)

608 (61.0)

599 (99.8)

610 (74.8)

  Others

0 (0.0)

0 (0.0)

0 (0.0)

7 (0.7)

1 (0.2)

2 (0.2)

Medication use

 Diuretics

249 (75.9)

592 (75.9)

275 (85.9)

1308 (78.0)

748 (68.9)

1569 (86.5)

 < 0.001

 Beta-blockers

209 (63.7)

477 (61.2)

153 (47.8)

1117 (66.6)

551 (50.8)

1078 (59.4)

 < 0.001

 ACEI/ARB

58 (17.7)

325 (41.7)

51 (15.9)

821 (49.0)

419 (38.6)

762 (42.0)

 < 0.001

 Warfarin

192 (58.5)

378 (48.5)

268 (83.8)

448 (26.7)

250 (23.0)

746 (41.1)

 < 0.001

 Aspirin

114 (34.8)

313 (40.1)

48 (15.0)

820 (48.9)

343 (31.6)

565 (31.1)

 < 0.001

 P2Y12 inhibitors

82 (25.0)

199 (25.5)

22 (6.9)

589 (35.1)

238 (21.9)

392 (21.6)

 < 0.001

  1. Values are presented as mean ± standard deviation, median (interquartile range), or number (%). Baseline characteristics are shown before imputation of missing data
  2. VHD valvular heart disease, AS aortic stenosis, AR aortic regurgitation, MS mitral stenosis, MR mitral regurgitation, TR tricuspid regurgitation, MVHD multiple valvular heart disease, BMI body mass index, MI myocardial infarction, PCI percutaneous coronary intervention, CABG coronary artery bypass graft, NYHA New York Heart Association, NT-proBNP N-terminal pro-B-type natriuretic peptide, ALT alanine aminotransferase, MELD-XI Model for End-stage Liver Disease with albumin replacing international normalized ratio, LA left atrial end-diastolic dimension, LVEDD left ventricular end-diastolic dimension, LVEF left ventricular ejection fraction, ACEI angiotensin converting enzyme inhibitors, ARB angiotensin receptor blocker