Epidemiology of pure valvular regurgitation in the large middle-aged African American cohort of the Atherosclerosis Risk in Communities study
Background There are limited data on the prevalence and the clinical and echocardiographic correlates of pure valvular regurgitation in African Americans despite the higher rates of cardiovascular disease in this group. Purpose The Jackson, Mississippi, site of the Atherosclerosis Risk in Communitie...
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| Veröffentlicht in: | The American heart journal 2007-12, Vol.154 (6), p.1229-1234 |
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| creator | Fox, Ervin R., MD, MPH Wilson, Richard S., MD Penman, Alan D., MBChB, MS, MPH King, John J., MD Towery, James G., MD Butler, Kenneth R., PhD McMullan, Michael R., MD Skelton, Thomas N., MD Mosley, Thomas H., PhD Taylor, Herman A., MD, MPH |
| description | Background There are limited data on the prevalence and the clinical and echocardiographic correlates of pure valvular regurgitation in African Americans despite the higher rates of cardiovascular disease in this group. Purpose The Jackson, Mississippi, site of the Atherosclerosis Risk in Communities study provides a unique opportunity to study mitral regurgitation (MR), tricuspid regurgitation (TR), and aortic regurgitation (AR) in this population. Methods There were 2285 participants who were available for analysis. The prevalence rates of MR, TR, and AR by severity were calculated for participants aged 50 to 59, 60 to 69, and ≥70 years. Multivariable regression analyses were conducted to determine clinical and echo variables associated with the presence of MR, TR, and AR. Results Mild or greater MR and TR were present in 14.7% and 17.2% of participants, respectively. Aortic regurgitation was present in 15.6% of participants. In the multivariable regression model, MR was independently associated with age, sex, lower body mass index (BMI), systolic blood pressure, left atrial size, left ventricular (LV) diastolic diameter, and low LV ejection fraction. Tricuspid regurgitation was independently associated with age, sex, lower BMI, high-density lipid, left atrial size, and lower relative wall thickness. Aortic regurgitation was independently associated with age, sex, lower BMI, systolic blood pressure, LV diastolic diameter, LV hypertrophy, and low LV ejection fraction. Conclusion In this middle-aged African Americans cohort, the prevalence of mild to greater MR and TR was similar to that seen in other cohorts; however, AR was more prevalent. Several cardiovascular risk factors and echo parameters were identified as independent correlates of valvular regurgitation. |
| doi_str_mv | 10.1016/j.ahj.2007.07.030 |
| format | Article |
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Purpose The Jackson, Mississippi, site of the Atherosclerosis Risk in Communities study provides a unique opportunity to study mitral regurgitation (MR), tricuspid regurgitation (TR), and aortic regurgitation (AR) in this population. Methods There were 2285 participants who were available for analysis. The prevalence rates of MR, TR, and AR by severity were calculated for participants aged 50 to 59, 60 to 69, and ≥70 years. Multivariable regression analyses were conducted to determine clinical and echo variables associated with the presence of MR, TR, and AR. Results Mild or greater MR and TR were present in 14.7% and 17.2% of participants, respectively. Aortic regurgitation was present in 15.6% of participants. In the multivariable regression model, MR was independently associated with age, sex, lower body mass index (BMI), systolic blood pressure, left atrial size, left ventricular (LV) diastolic diameter, and low LV ejection fraction. Tricuspid regurgitation was independently associated with age, sex, lower BMI, high-density lipid, left atrial size, and lower relative wall thickness. Aortic regurgitation was independently associated with age, sex, lower BMI, systolic blood pressure, LV diastolic diameter, LV hypertrophy, and low LV ejection fraction. Conclusion In this middle-aged African Americans cohort, the prevalence of mild to greater MR and TR was similar to that seen in other cohorts; however, AR was more prevalent. Several cardiovascular risk factors and echo parameters were identified as independent correlates of valvular regurgitation.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2007.07.030</identifier><identifier>PMID: 18035099</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>African Americans ; Aged ; Aortic Valve Insufficiency - ethnology ; Atherosclerosis ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Body mass index ; Cardiology. Vascular system ; Cardiovascular ; Cardiovascular disease ; Drug therapy ; Echocardiography ; Endocardial and cardiac valvular diseases ; Female ; Heart ; Heart attacks ; Humans ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Mississippi - epidemiology ; Mitral Valve Insufficiency - ethnology ; Mortality ; Prevalence ; Prospective Studies ; Regression Analysis ; Stroke Volume ; Tricuspid Valve Insufficiency - ethnology</subject><ispartof>The American heart journal, 2007-12, Vol.154 (6), p.1229-1234</ispartof><rights>2007</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Elsevier Limited Dec 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-44189ab8ba39c1554eed661804fd18e161a5e06fb72c8ed8637e80c38a01bd393</citedby><cites>FETCH-LOGICAL-c530t-44189ab8ba39c1554eed661804fd18e161a5e06fb72c8ed8637e80c38a01bd393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1504615747?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000,64390,64392,64394,72474</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19904549$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18035099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fox, Ervin R., MD, MPH</creatorcontrib><creatorcontrib>Wilson, Richard S., MD</creatorcontrib><creatorcontrib>Penman, Alan D., MBChB, MS, MPH</creatorcontrib><creatorcontrib>King, John J., MD</creatorcontrib><creatorcontrib>Towery, James G., MD</creatorcontrib><creatorcontrib>Butler, Kenneth R., PhD</creatorcontrib><creatorcontrib>McMullan, Michael R., MD</creatorcontrib><creatorcontrib>Skelton, Thomas N., MD</creatorcontrib><creatorcontrib>Mosley, Thomas H., PhD</creatorcontrib><creatorcontrib>Taylor, Herman A., MD, MPH</creatorcontrib><title>Epidemiology of pure valvular regurgitation in the large middle-aged African American cohort of the Atherosclerosis Risk in Communities study</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background There are limited data on the prevalence and the clinical and echocardiographic correlates of pure valvular regurgitation in African Americans despite the higher rates of cardiovascular disease in this group. Purpose The Jackson, Mississippi, site of the Atherosclerosis Risk in Communities study provides a unique opportunity to study mitral regurgitation (MR), tricuspid regurgitation (TR), and aortic regurgitation (AR) in this population. Methods There were 2285 participants who were available for analysis. The prevalence rates of MR, TR, and AR by severity were calculated for participants aged 50 to 59, 60 to 69, and ≥70 years. Multivariable regression analyses were conducted to determine clinical and echo variables associated with the presence of MR, TR, and AR. Results Mild or greater MR and TR were present in 14.7% and 17.2% of participants, respectively. Aortic regurgitation was present in 15.6% of participants. In the multivariable regression model, MR was independently associated with age, sex, lower body mass index (BMI), systolic blood pressure, left atrial size, left ventricular (LV) diastolic diameter, and low LV ejection fraction. Tricuspid regurgitation was independently associated with age, sex, lower BMI, high-density lipid, left atrial size, and lower relative wall thickness. Aortic regurgitation was independently associated with age, sex, lower BMI, systolic blood pressure, LV diastolic diameter, LV hypertrophy, and low LV ejection fraction. Conclusion In this middle-aged African Americans cohort, the prevalence of mild to greater MR and TR was similar to that seen in other cohorts; however, AR was more prevalent. Several cardiovascular risk factors and echo parameters were identified as independent correlates of valvular regurgitation.</description><subject>African Americans</subject><subject>Aged</subject><subject>Aortic Valve Insufficiency - ethnology</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Body mass index</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Drug therapy</subject><subject>Echocardiography</subject><subject>Endocardial and cardiac valvular diseases</subject><subject>Female</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mississippi - epidemiology</subject><subject>Mitral Valve Insufficiency - ethnology</subject><subject>Mortality</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Regression Analysis</subject><subject>Stroke Volume</subject><subject>Tricuspid Valve Insufficiency - ethnology</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ktuK2zAQhk1p6abbPkBviqC0d05Hli3JFAohbA-wUOjhWijSOFFWtlLJDuQh-s6VSSCwFwUxktD3DzP6pyheU1hSoPzDfql3-2UFIJbzYvCkWFBoRclFXT8tFgBQlVIAuylepLTPV15J_ry4oRJYA227KP7eHZzF3gUfticSOnKYIpKj9sfJ60gibqe4daMeXRiIG8i4Q5Iftkh6Z63HUm_RklUXndEDWfV4PpiwC3Gc882CVQ4xJOPn6BL54dLDnGwd-n4a3OgwkTRO9vSyeNZpn_DVZb8tfn---7X-Wt5___JtvbovTcNgLOuaylZv5Eaz1tCmqREt57mpurNUIuVUNwi824jKSLSSM4ESDJMa6Maylt0W7895DzH8mTCNqnfJoPd6wDAlxWXDhGA8g28fgfswxSHXpmgDNaeNqEWm6Jkyub8UsVOH6HodT4qCmp1Se5WdUrNTal4MsubNJfO06dFeFRdrMvDuAuhktO-iHoxLV65toW7qmft45jB_2NFhVMk4HAxaF9GMygb33zI-PVIb74bsoX_AE6ZrtypVCtTPeaTmiQKRh4kyyf4BCATG6g</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>Fox, Ervin R., MD, MPH</creator><creator>Wilson, Richard S., MD</creator><creator>Penman, Alan D., MBChB, MS, MPH</creator><creator>King, John J., MD</creator><creator>Towery, James G., MD</creator><creator>Butler, Kenneth R., PhD</creator><creator>McMullan, Michael R., MD</creator><creator>Skelton, Thomas N., MD</creator><creator>Mosley, Thomas H., PhD</creator><creator>Taylor, Herman A., MD, MPH</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20071201</creationdate><title>Epidemiology of pure valvular regurgitation in the large middle-aged African American cohort of the Atherosclerosis Risk in Communities study</title><author>Fox, Ervin R., MD, MPH ; Wilson, Richard S., MD ; Penman, Alan D., MBChB, MS, MPH ; King, John J., MD ; Towery, James G., MD ; Butler, Kenneth R., PhD ; McMullan, Michael R., MD ; Skelton, Thomas N., MD ; Mosley, Thomas H., PhD ; Taylor, Herman A., MD, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c530t-44189ab8ba39c1554eed661804fd18e161a5e06fb72c8ed8637e80c38a01bd393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>African Americans</topic><topic>Aged</topic><topic>Aortic Valve Insufficiency - ethnology</topic><topic>Atherosclerosis</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Body mass index</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Drug therapy</topic><topic>Echocardiography</topic><topic>Endocardial and cardiac valvular diseases</topic><topic>Female</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mississippi - epidemiology</topic><topic>Mitral Valve Insufficiency - ethnology</topic><topic>Mortality</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Regression Analysis</topic><topic>Stroke Volume</topic><topic>Tricuspid Valve Insufficiency - ethnology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fox, Ervin R., MD, MPH</creatorcontrib><creatorcontrib>Wilson, Richard S., MD</creatorcontrib><creatorcontrib>Penman, Alan D., MBChB, MS, MPH</creatorcontrib><creatorcontrib>King, John J., MD</creatorcontrib><creatorcontrib>Towery, James G., MD</creatorcontrib><creatorcontrib>Butler, Kenneth R., PhD</creatorcontrib><creatorcontrib>McMullan, Michael R., MD</creatorcontrib><creatorcontrib>Skelton, Thomas N., MD</creatorcontrib><creatorcontrib>Mosley, Thomas H., PhD</creatorcontrib><creatorcontrib>Taylor, Herman A., MD, MPH</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fox, Ervin R., MD, MPH</au><au>Wilson, Richard S., MD</au><au>Penman, Alan D., MBChB, MS, MPH</au><au>King, John J., MD</au><au>Towery, James G., MD</au><au>Butler, Kenneth R., PhD</au><au>McMullan, Michael R., MD</au><au>Skelton, Thomas N., MD</au><au>Mosley, Thomas H., PhD</au><au>Taylor, Herman A., MD, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of pure valvular regurgitation in the large middle-aged African American cohort of the Atherosclerosis Risk in Communities study</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>154</volume><issue>6</issue><spage>1229</spage><epage>1234</epage><pages>1229-1234</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background There are limited data on the prevalence and the clinical and echocardiographic correlates of pure valvular regurgitation in African Americans despite the higher rates of cardiovascular disease in this group. Purpose The Jackson, Mississippi, site of the Atherosclerosis Risk in Communities study provides a unique opportunity to study mitral regurgitation (MR), tricuspid regurgitation (TR), and aortic regurgitation (AR) in this population. Methods There were 2285 participants who were available for analysis. The prevalence rates of MR, TR, and AR by severity were calculated for participants aged 50 to 59, 60 to 69, and ≥70 years. Multivariable regression analyses were conducted to determine clinical and echo variables associated with the presence of MR, TR, and AR. Results Mild or greater MR and TR were present in 14.7% and 17.2% of participants, respectively. Aortic regurgitation was present in 15.6% of participants. In the multivariable regression model, MR was independently associated with age, sex, lower body mass index (BMI), systolic blood pressure, left atrial size, left ventricular (LV) diastolic diameter, and low LV ejection fraction. Tricuspid regurgitation was independently associated with age, sex, lower BMI, high-density lipid, left atrial size, and lower relative wall thickness. Aortic regurgitation was independently associated with age, sex, lower BMI, systolic blood pressure, LV diastolic diameter, LV hypertrophy, and low LV ejection fraction. Conclusion In this middle-aged African Americans cohort, the prevalence of mild to greater MR and TR was similar to that seen in other cohorts; however, AR was more prevalent. Several cardiovascular risk factors and echo parameters were identified as independent correlates of valvular regurgitation.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>18035099</pmid><doi>10.1016/j.ahj.2007.07.030</doi><tpages>6</tpages></addata></record> |
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| subjects | African Americans Aged Aortic Valve Insufficiency - ethnology Atherosclerosis Atherosclerosis (general aspects, experimental research) Biological and medical sciences Blood and lymphatic vessels Body mass index Cardiology. Vascular system Cardiovascular Cardiovascular disease Drug therapy Echocardiography Endocardial and cardiac valvular diseases Female Heart Heart attacks Humans Logistic Models Male Medical sciences Middle Aged Mississippi - epidemiology Mitral Valve Insufficiency - ethnology Mortality Prevalence Prospective Studies Regression Analysis Stroke Volume Tricuspid Valve Insufficiency - ethnology |
| title | Epidemiology of pure valvular regurgitation in the large middle-aged African American cohort of the Atherosclerosis Risk in Communities study |
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