Table 1

Demographic and echocardiographic characteristics for entire group and by LVOTd

VariableTotalGroup 1 LVOT 1.7–1.9Group 2 LVOT 2.0–2.2Group 3 LVOT≥2.3 Value
(n=9488)(n=879)(n=5344)(n=3265)
Male (%)5894788<0.001
Age (years)75±1279±1276±1173±13<0.001
 C (n=2534)76±1280±1176±1173±11<0.001
 I (n=1309)79±1180±1279±1179±110.1
BSA, m2 (n=9472)1.93±0.31.69±0.21.88±0.22.07±0.2<0.001
 C (n=2526)1.89±0.241.68±0.21.87±0.222.04±0.22<0.001
 I (n=1307)1.81±0.241.66±0.21.82±0.231.98±0.2<0.001
Systolic blood pressure, mm Hg (n=8970)132±21135±23133±21129±19<0.001
Heart rate, beats per minute71±873±872±871±8<0.001
LVEDD (n=6738)47.2±5.843.1±5.346.3±5.549.3±5.4<0.001
 C (n=1892)46.8±5.743.1±5.346.3±5.649.2±5.3<0.001
 I (n=820)45.0±5.442.2±5.545.3±5.347.5±5.3<0.001
LVESD (n=5884)29.2±5.225.7±4.528.5±4.931.1±5.0<0.001
RWT (n=6369)50.3±11.253.2±13.850.7±11.249.1±10.4<0.001
LV ejection fraction (%)65±767±765±763±7<0.001
LVOT diameter (cm)2.18±0.191.87±0.052.11±0.082.40±0.13<0.001
 C (n=2533)2.15±0.181.87±0.062.10±0.082.38±0.11<0.001
 I (n=1309)2.07±0.151.87±0.062.08±0.082.36±0.08<0.001
LVOT TVI (cm)24.7±4.827.1±5.525.2±4.723.3±4.1<0.001
 C (n=2534)24.1±4.225.2±5.024.7±4.021.9±3.3<0.001
 I (n=1309)22.0±3.924±422±418±3<0.001
SV (ml)92±2075±1588±17105±20<0.001
SV index (ml/m2) (n=9472)48±1045±1547±1051±10<0.001
 C (n=2526)46±843±946±848±8<0.001
 I (n=1307)41±841±841±841±70.7
SVI ≤35 ml/m2 (%) (n=9472)71583<0.001
 C (n=2526)82075<0.001
 I (n=1307)222123200.5
Cardiac index (l/min/m2) (n 9472)3.43±0.753.24±0.743.36±0.733.61±0.75<0.001
 C (n=2526)3.29±0.633.11±0.713.29±0.633.37±0.58<0.001
 I (n=1307)2.93±0.572.98±0.592.92±0.582.88±0.950.2
AV TVI (cm)89±2290±2390±2288±21<0.001*
 C (n=2533)116±17116±17116±17117±160.8
 I (n=1309)85±1280±1185±1288±12<0.001
AV Vmax (m/s)3.87±0.753.92±0.813.89±0.763.84±0.720.002**
 C (n=2533)4.83±0.524.87±0.564.82±0.524.83±0.510.3
 I (n=1309)3.59±0.313.49±0.323.60±0.303.69±0.26<0.001
AV MG (mm Hg)36.6±15.637.5±17.136.9±15.836.0±14.90.007***
 C (n=2533)56.9±13.157.6±13.956.6±13.257.5±2.50.2
 I (n=1309)30.5±5.429±531±533±5<0.001
AVA (cm2)1.09±0.340.88±0.281.03±0.31.25±0.36<0.001
 C (n=2533)0.76±0.140.63±0.130.75±0.130.84±0.13<0.001
 I (n=1309)0.87±0.100.84±0.110.87±0.100.90±0.08<0.001
AVA index (cm2/ m2) (n=9472)0.57±0.170.53±0.170.55±0.160.61±0.18<0.001
 C (n=2526)0.40±0.07038±0.090.40±0.070.41±0.06<0.001
 I (n=1307)0.49±0.080.51±0.090.48±0.080.46±0.06<0.001
DI TVI0.29±0.080.32±0.100.30±0.080.28±0.08<0.001
 C (n=2532)0.21±0.040.23±0.050.22±0.040.19±0.03<0.001
 I (n=1304)0.26±0.040.31±0.040.26±0.030.21±0.02<0.001
LV mass index (g/m2) (n=6330)112±30106±32111±30116±30<0.001
LV hypertrophy (%) (n=6330)53575449<0.001
RVSP (mm Hg) (n=7740)40±1445±1540±1438±13<0.001
Zva (mm Hg/ml.m2) (n=8956)3.6±0.924.03±1.113.73±0.913.34±0.81<0.001
Zva≥4.5 (%) (n=8956)1629199<0.001
 C (n=2424)32523222<0.001
 I (n=1213)302930270.9
SAC (ml/mm Hg.m2) (n=8947)0.87±0.330.74±0.310.82±0.300.97±0.36<0.001
SVR, mm Hg.min/l (n=8963)1161±3101399±3701214±2941014±246<0.001
 C (n=2429)1224±2971484±3751236±2721092±234<0.001
 I (n=1213)1431±3251526±3521420±3181312±260<0.001
ELI (cm2/m2) (n=4873)0.57±0.170.53±0.160.55±0.160.61±0.18<0.001****
SW per 100 g LV mass, g (n=6207) 80±2679±2979±2680±260.8
SWL (%) (n=8970)21.6±7.321.45±7.721.51±7.321.64±7.140.7
 C (n=2430)30.35±5.6530.02±5.8430.07±5.6731.09±5.47<0.001
 I (n=1214)18.96±3.7317.71±3.6019.11±3.6620.50±3.64<0.001
  • *p Value <0.001 between groups 2 and 3, 0.08 between groups 1 and 3 and 1.0 between groups 1 and 2.

  • **p Value 0.002 between groups 2 and 3 and 1 and 3, 0.5 between groups 1 and 2.

  • ***p Value 0.007 between groups 2and 3 and 1 and 3, 0.5 between groups 1 and 2.

  • ****p Value<0.001 between groups 2 and 3 and 1 and 3, 0.2 between groups 1 and 2.

  • C=Consistent severe AS (AVA <1 cm2, Vmax >4 m/s, MG >40 mm Hg).

  • I=Inconsistent severe AS (AVA ≥1 cm2, Vmax ≤4 m/s, MG ≤40 mm Hg).

  • AS, aortic stenosis; AVA, aortic valve area; ELI, energy loss index; LVEDD, left ventricular end-diastolic diameter; LVESD, left ventricular end-systolic diameter; LVOTd, left ventricular outflow tract diameter; MG, mean gradient; RVSP, right ventricular systolic pressure; SV, stroke volume; SAC, systemic arterial compliance; SVI, stroke volume index; SVR, systemic vascular resistance; SW, stroke work; SWL, stroke work loss.