The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.
Natural History of Asymptomatic Mitral Valve Prolapse in the Community
Abstract
Background— The outcome of mitral valve prolapse (MVP) is controversial, with marked discrepancies in reported complication rates. Methods and Results— We conducted a community study of all Olmsted County, Minn, residents first diagnosed with asymptomatic MVP between 1989 and 1998 (N=833). Diagnosis, motivated by auscultatory findings (n=557) or incidental (n=276), was always confirmed by echocardiography with the use of current criteria. End points analyzed during 4581 person-years of follow-up were mortality (n=96, 19±2% at 10 years), cardiovascular morbidity (n=171), and MVP-related events (n=109, 20±2% at 10 years). The most frequent primary risk factors for cardiovascular mortality were mitral regurgitation from moderate to severe ( P =0.002, n=131) and, less frequently, ejection fraction <50% ( P =0.003, n=31). Secondary risk factors independently predictive of cardiovascular morbidity were slight mitral regurgitation, left atrium ≥40 mm, flail leaflet, atrial fibrillation, and age ≥50 years (all P <0.01). Patients with only 0 or 1 secondary risk factor (n=430) had excellent outcome, with 10-year mortality of 5±2% ( P =0.17 versus expected), cardiovascular morbidity of 0.5%/y, and MVP-related events of 0.2%/y. Patients with ≥2 secondary risk factors (n=250) had mortality similar to expected ( P =0.20) but high cardiovascular morbidity (6.2%/y, P <0.01) and notable MVP-related events (1.7%/y, P <0.01). Patients with primary risk factors (n=153) showed excess 10-year mortality (45±9%, P =0.01 versus expected), high morbidity (18.5%/y, P <0.01), and high MVP-related events (15%/y, P <0.01). Conclusions— Natural history of asymptomatic MVP in the community is widely heterogeneous and may be severe. Clinical and echocardiographic characteristics allow separation of the majority of patients with excellent prognosis from subsets of patients displaying, during follow-up, high morbidity or even excess mortality as direct a consequence of MVP.
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Cites
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Epidemiologic Features of Chronic Atrial Fibrillation: The Framingham Study
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History of the Rochester Epidemiology Project
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Self-citationColor Doppler assessment of mitral regurgitation with orthogonal planes.
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Prevalence and Clinical Outcome of Mitral-Valve Prolapse
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Clinical Outcome of Mitral Regurgitation Due to Flail Leaflet
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Self-citationEchocardiographically Documented Mitral-Valve Prolapse: Long-Term Follow-up of 237 Patients
Nishimura, R. A., McGoon, M. D., Shub, C., Miller, F. A., Ilstrup, D. M., & Tajik, A. J. (1985) · New England Journal of Medicine · doi:10.1056/nejm198511213132101 · Cited by 589
Self-citationEchocardiographic prediction of survival after surgical correction of organic mitral regurgitation.
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Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019
Roth, G. A., Mensah, G. A., Johnson, C. O., Addolorato, G., Ammirati, E., Baddour, L. M., Barengo, N. C., Beaton, A. Z., Benjamin, E. J., Benziger, C. P., et al. (2020) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2020.11.010 · Cited by 11,449
Heart Disease and Stroke Statistics—2020 Update: A Report From the American Heart Association
Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Delling, F. N., et al. (2020) · Circulation · doi:10.1161/cir.0000000000000757 · Cited by 9,175
Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association
Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Das, S. R., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000659 · Cited by 9,036
Heart disease and stroke statistics-2018 update: a report from the american heart association
Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., et al. (2018) · Circulation · doi:10.1161/cir.0000000000000558 · Cited by 7,146
Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association
Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Cheng, S., Delling, F. N., et al. (2021) · Circulation · doi:10.1161/cir.0000000000000950 · Cited by 5,784
Metadata
- Authors
- Avierinos, J.-F., Gersh, B. J., Melton, L. J., Bailey, K. R., Shub, C., Nishimura, R. A., Tajik, A. J., & Enriquez-Sarano, M.
- Venue
- Circulation
- Published
- 2002-09-10
- Volume
- 106
- Issue
- 11
- Pages
- 1355-1361
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2118953216
- Cited by
- 448
- References
- 31
- FWCI
- 5.81
- Type
- journal article
- Language
- en
- Open access
- closed
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