Research Article

Temporal Trends and Early Outcomes of Transcatheter versus Surgical Mitral Valve Repair in Atrial Fibrillation Patients

Table 1

Baseline characteristics for SMVR versus TMVR in patients with AF in unmatched and matched cohorts.

Unmatched cohort valueMatched cohort value
SMVR in AFTMVR in AFTMVR in AFSMVR in AF

Number16,9729,1954,6804,680
Age66.66 ± 10.7479.34 ± 8.82<0.00175.24 ± 7.3875.71 ± 9.730.009
Female41.2%44.7%<0.00147.2%49.0%0.086
Paroxysmal AF55.1%53.7%0.02741.4%37.4%<0.001
Median income range<0.0010.095
 0–25th percentile18.0%19.1%19.8%19.4%
 25−50th percentile23.1%23.9%23.3%25.5%
 50−75th percentile27.0%28.0%27.2%26.5%
 75−100th percentile31.9%29.0%29.7%28.6%
Hospital size<0.001<0.001
 Small5.9%2.8%4.6%3.2%
 Medium22.0%20.9%19.6%23.2%
 Large72.1%76.3%75.8%73.6%
Pay<0.0010.192
 Medicare58.8%90.2%85.8%86.3%
 Medicaid5.4%1.6%2.2%2.6%
 Others35.8%8.2%12.0%11.0%
Urgent/emergent21.5%25.6%<0.00126.1%25.8%0.777
Prior PCI4.8%18.8%<0.00111.0%10.8%0.817
Prior CABG2.7%19.9%<0.0017.8%8.7%0.134
Prior PPM/ICD6.8%26.2%<0.00115.5%15.9%0.609
Smoke29.5%34.0%<0.00132.3%32.3%0.965
Dyslipidemia48.0%60.1%<0.00155.3%55.9%0.618
Anemia3.5%5.2%<0.0014.8%4.5%0.557
Obesity15.6%10.6%<0.00114.0%13.7%0.697
Alcohol use0.2%0.1%0.0810.2%0.1%0.605
Prior stroke7.3%12.9%<0.00110.9%11.3%0.553
Myocardial infarction5.8%16.7%<0.00111.2%10.8%0.552
Congestive heart failure56.7%89.0%<0.00182.7%81.4%0.118
Peripheral vascular disease11.1%24.4%<0.00118.4%17.5%0.27
Cerebrovascular disease5.0%5.6%0.0555.9%5.9%1
Dementia0.7%3.3%<0.0012.1%2.0%0.77
Chronic pulmonary disease18.0%27.4%<0.00125.8%25.2%0.507
Disease0.3%0.6%<0.0010.6%0.5%0.889
Peptic ulcer disease2.5%3.2%0.0013.0%3.3%0.443
Liver disease2.2%2.6%0.1022.8%2.5%0.521
Diabetes12.1%13.2%0.00814.4%15.3%0.211
Paraplegia1.2%0.5%<0.0010.8%0.9%0.647
Renal disease16.2%41.7%<0.00132.4%31.1%0.169
Metastatic solid tumor0.2%0.6%<0.0010.4%0.4%0.867
Charlson comorbidity index4.68 ± 2.006.90 ± 1.97<0.0016.32 ± 1.866.26 ± 1.860.128

Normally distributed continuous variables expressed as the mean value ± standard deviation and categorical variables were expressed as percentages. AF: atrial fibrillation; SMVR: surgical mitral valve repair; TMVR, transcatheter mitral valve repair; PPM: permanent pacemaker implant; ICD: implantable cardioverter defibrillator.