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Lower blood pressure after transcatheter or surgical aortic valve replacement is associated with increased mortality

Journal of the American Heart Association Nov 12, 2019

Lindman BR, Goel K, Bermejo J, et al. - Given a resemblance between blood pressure (BP) guidelines for patients with aortic stenosis or a history of aortic stenosis treated with aortic valve replacement (AVR) and guidelines in the general population but this extrapolation may not be warranted, therefore, to clarify this issue, researchers assessed links between early (average of discharge and 30 day post-AVR) systolic BP and diastolic BP measurements and clinical outcomes between 30 days and 1 year in patients with a transcatheter AVR (n = 1,794) or surgical AVR (n = 1,103) who were alive at 30 days and took part in the Medtronic intermediate, high, and extreme risk trials. They found a common occurrence of lower BP in the first month following transcatheter AVR or surgical AVR, and this was related to increased mortality and repeat hospitalization. Improved patient outcomes may be achieved by clarifying optimal BP targets, which must be a priority, in these patients.
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