Mitral regurgitation and other valvular heart diseases

    Authors

    Abstract

    **Background**: Mitral regurgitation (MR) represents the second most common valvular heart disease (VHD), with incidence of 24% (1). 10,4% of patients have two and 0.8% three or more concurrent valvular heart disease (1). MR can be isolated or associated with other valvular heart disease, most commonly with tricuspid regurgitation (2). In this article we represent data from our centre. **Patients and Methods:** Retrospective study was conducted to assess the relation between MR with other VHD. A total of 686 patients, with male predominance of 55%, were included in the study. The patients were divided into four groups according to the number of valvular diseases: two, three and four valvular diseases. **Results:** Among the patients with two valvular disease, the most common combination was MR and tricuspid regurgitation (TR) (50.58%). Among the patients with three valvular disease, the combination of MR, aortic regurgitation (AR) and TR was the most common. (17.78%). Finally, four valvular disease was found in 5.98% of patients. In both men and women with two valvular disease, MR and TR, was most frequently found (44.3 and 58.3%) in contrast to MR and AS which was least common combination (16.7 and 26.2%) in both men and women. When it comes to three valvular disease combination of MR, aortic stenosis (AS) and AR or MR, AS and TR was almost the same. **Conclusion**: Our results match the above-mentioned results in general population. MR was most commonly associated with TR. In three valvular disease combinations of MR, AR and TR was the most common in both gender.

    Keywords

    mitral regurgitation, aortic stenosis, aortic regurgitation, tricuspid regurgitation

    DOI

    https://doi.org/10.15836/ccar2018.185

    Literature

    1. Andell P, Li X, Martinsson A, Andersson C, Stagmo M, Zöller B, et al. Epidemiology of valvular heart disease in a Swedish nationwide hospital-based register study. Heart. 2017 Nov;103(21):1696–703. https://doi.org/10.1136/heartjnl-2016-310894
    2. Zamorano JL, Manuel Monteagudo J, Mesa D, Gonzalez-Alujas T, Sitges M, Carrasco-Chinchilla F, et al. Frequency, Mechanism and Severity of Mitral Regurgitation: Are There any Differences Between Primary and Secondary Mitral Regurgitation? J Heart Valve Dis. 2016 Nov;25(6):724–9. https://pubmed.ncbi.nlm.nih.gov/28290172/
    Cardiologia Croatica
    Back to search

    Mitral regurgitation and other valvular heart diseases

    Extended Abstract
    Issue5-6
    Published
    Pages185
    PDF via DOIhttps://doi.org/10.15836/ccar2018.185
    mitral regurgitation
    aortic stenosis
    aortic regurgitation
    tricuspid regurgitation

    Authors

    Ante Pašalić*ORCIDUniversity Hospital “Sveti Duh”, Zagreb, Croatia
    Leon AdrovićORCIDUniversity Hospital “Sveti Duh”, Zagreb, Croatia
    Tea FriščićORCIDUniversity Hospital “Sveti Duh”, Zagreb, Croatia
    Zrinka PlaninićORCIDUniversity Hospital “Sveti Duh”, Zagreb, Croatia
    Marko PerčićORCIDUniversity Hospital “Sveti Duh”, Zagreb, Croatia
    Dario GulinORCIDUniversity Hospital “Sveti Duh”, Zagreb, Croatia
    Dijana BešićORCIDUniversity Hospital “Sveti Duh”, Zagreb, Croatia
    Jozica ŠikićORCIDUniversity Hospital “Sveti Duh”, Zagreb, Croatia

    *Correspondence email: ante.pasalic@outlook.com

    Abstract

    **Background**: Mitral regurgitation (MR) represents the second most common valvular heart disease (VHD), with incidence of 24% (1). 10,4% of patients have two and 0.8% three or more concurrent valvular heart disease (1). MR can be isolated or associated with other valvular heart disease, most commonly with tricuspid regurgitation (2). In this article we represent data from our centre. **Patients and Methods:** Retrospective study was conducted to assess the relation between MR with other VHD. A total of 686 patients, with male predominance of 55%, were included in the study. The patients were divided into four groups according to the number of valvular diseases: two, three and four valvular diseases. **Results:** Among the patients with two valvular disease, the most common combination was MR and tricuspid regurgitation (TR) (50.58%). Among the patients with three valvular disease, the combination of MR, aortic regurgitation (AR) and TR was the most common. (17.78%). Finally, four valvular disease was found in 5.98% of patients. In both men and women with two valvular disease, MR and TR, was most frequently found (44.3 and 58.3%) in contrast to MR and AS which was least common combination (16.7 and 26.2%) in both men and women. When it comes to three valvular disease combination of MR, aortic stenosis (AS) and AR or MR, AS and TR was almost the same. **Conclusion**: Our results match the above-mentioned results in general population. MR was most commonly associated with TR. In three valvular disease combinations of MR, AR and TR was the most common in both gender.

    Literature

    1. 1.
      Andell P, Li X, Martinsson A, Andersson C, Stagmo M, Zöller B, et al. Epidemiology of valvular heart disease in a Swedish nationwide hospital-based register study. Heart. 2017 Nov;103(21):1696–703.DOI
    2. 2.
      Zamorano JL, Manuel Monteagudo J, Mesa D, Gonzalez-Alujas T, Sitges M, Carrasco-Chinchilla F, et al. Frequency, Mechanism and Severity of Mitral Regurgitation: Are There any Differences Between Primary and Secondary Mitral Regurgitation? J Heart Valve Dis. 2016 Nov;25(6):724–9.PubMed