: Prevalence of different valvular pathologies has not been reported in female and male patients in large population-based studies. The goal of this study was to report gender specific prevalence of various valvular pathologies.
We retrospectively analyzed 24,265 echocardiograms performed at our institution between 1984 and 1998. The prevalence of mitral valve prolapse (MVP), regurgitation (MR) and stenosis (MS), aortic valve regurgitation (AR) and stenosis (AS), bicuspid aortic valve and tricuspid regurgitation (TR) were calculated in female and male patients.
Echocardiograms were performed in 12,926 (53%) female patients and 11,339 (47%) male patients. Gender specific echocardiographic prevalence of different valvular abnormalities is shown in Table 1.
Conclusion: In this study, we compared echocardiographic prevalence of different valvular disease in female and male patients. MS and moderate to severe TR were more prevalent in female patients. MVP, bicuspid aortic valve and severe AR were more prevalent in male patients. The other valvular conditions studied had similar prevalence in both female and male patients.
There are significant difference in the occurrence of Valvular abnormalities between men and women that needs further investigation.
Type of Valvular DiseasePrevalence in Females (%)Prevalence in Males (%)Overall Prevalence (%)MR, all24.425.024.7MR, mild16.516.516.5MR, moderate188.8.131.52MR, severe184.108.40.206MS, all**220.127.116.11MVP*0.40.70.6AR, all5.514.915.2AR, mild**11.510.110.9AR, moderate18.104.22.168AR, severe**0.41.00.7AS, all22.214.171.124Bicuspid aortic valve**0.30.90.6TR, all**18.516.717.7TR, mild11.911.611.7TR, moderate*126.96.36.199TR, severe**188.8.131.52*
p < 0.01
Mohammad-Reza Movahed, None.