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Burden of valvular heart diseases: a population-based study
Vuyisile T Nkomo1, Julius M Gardin, Thomas N Skelton
1Mayo Clinic, Rochester, MN 55905, USA.
Moderate or severe valvular diseases are common and increase with age, impacting survival. These conditions represent a significant public health issue, particularly in community settings where women are diagnosed less often.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Valvular heart diseases are often underestimated as a public health concern.
- This study investigates the prevalence and survival impact of valvular heart diseases in the general population.
Purpose of the Study:
- To determine the prevalence of valvular heart diseases in the general population.
- To assess the effect of valvular heart diseases on overall survival.
Main Methods:
- Pooled data from population-based studies involving 11,911 randomly selected adults assessed via echocardiography.
- Analyzed data from a community study of 16,501 adults assessed by clinically indicated echocardiography.
Main Results:
- Moderate or severe valve disease found in 615 adults (2.5% national prevalence) in the general population, increasing with age.
- In the community, 1.8% of adults had valve disease, also increasing with age.
- Valve disease was associated with increased mortality risk (1.36 in population, 1.75 in community).
Conclusions:
- Moderate or severe valvular diseases are prevalent, especially in older adults.
- Women in the community were diagnosed less often, potentially linked to lower survival.
- Valvular heart diseases constitute a significant public health problem.
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