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Epidemiologic Profile of Patients With Valvular Heart Disease in Korea: A Nationwide Hospital-Based Registry Study

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Author(s)
You-Jung ChoiJung-Woo SonEun Kyoung KimIn-Cheol KimHyung Yoon KimJeong-Sook SeoByung Joo SunChi Young ShimSe-Jung YoonSahmin LeeSun Hwa LeeJun-Bean ParkDuk-Hyun Kang
Keimyung Author(s)
Kim, In Cheol
Department
Dept. of Internal Medicine (내과학)
Journal Title
J Cardiovasc Imaging
Issued Date
2023
Volume
31
Issue
1
Keyword
EpidemiologyKoreaValvular heart diseases
Abstract
Background:
Valvular heart disease (VHD) is a common cause of cardiovascular morbidity and mortality worldwide; however, its epidemiological profile in Korea requires elucidation.

Methods:
In this nationwide retrospective cohort study from the Korean valve survey, which collected clinical and echocardiographic data on VHD from 45 medical centers, we identified 4,089 patients with VHD between September and October 2019.

Results:
The aortic valve was the most commonly affected valve (n = 1,956 [47.8%]), followed by the mitral valve (n = 1,598 [39.1%]) and tricuspid valve (n = 1,172 [28.6%]). There were 1,188 cases of aortic stenosis (AS) and 926 cases of aortic regurgitation. The most common etiology of AS was degenerative disease (78.9%). The proportion of AS increased with age and accounted for the largest proportion of VHD in patients aged 80-89 years. There were 1,384 cases of mitral regurgitation (MR) and 244 cases of mitral stenosis (MS). The most common etiologies for primary and secondary MR were degenerative disease (44.3%) and non-ischemic heart disease (63.0%), respectively, whereas rheumatic disease (74.6%) was the predominant cause of MS. There were 1,172 tricuspid regurgitation (TR) cases, of which 46.9% were isolated and 53.1% were associated with other valvular diseases, most commonly with MR. The most common type of TR was secondary (90.2%), while primary accounted for 6.1%.

Conclusions:
This report demonstrates the current epidemiological status of VHD in Korea. The results of this study can be used as fundamental data for developing Korean guidelines for VHD.
Keimyung Author(s)(Kor)
김인철
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2586-7296
Source
https://e-jcvi.org/DOIx.php?id=10.4250/jcvi.2022.0076
DOI
10.4250/jcvi.2022.0076
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44798
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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