Turk Kardiyol Dern Ars. 2013; 41(1): 1-10 | DOI: 10.5543/tkda.2013.71430
The Turkish registry of heart valve disease
, Leyla Elif Sade2
, Mustafa Aydın3
, Abdi Bozkurt4
, Esmeray Acartürk41
Department of Cardiology, Harran University Faculty of Medicine, Şanlıurfa, Turkey2
Department of Cardiology, Başkent University Ankara Hospital, Ankara, Turkey3
Department of Cardiology, Zonguldak Karaelmas University Faculty of Medicine, Zonguldak4
Department of Cardiology, Cukurova University Faculty of Medicine, Adana
OBJECTIVES Valvular heart diseases (VHD) occur frequently in Turkey. However, epidemiological studies of VHD have not been completed until now. The aim of this study is to identify the VHD type, clinical, laboratory characteristics, and treatment methods among VHD patients in Turkey.
STUDY DESIGN The study was conducted prospectively between June 2009 and June 2011 at 42 centers, and included patients with native VHDs, infective endocarditis, and/or previous valve interventions.
RESULTS All medical data from 1300 patients were recorded. Mean age was 57±18 years and the female/male ratio was 1.5. VHD was native in 84% of patients, 15% had previous interventions, and 1% had infective endocarditis. Among the native VHDs, mitral regurgitation was the most frequent lesion (43%), followed by multiple VHDs (32%). Degenerative etiology (86%) was more frequent in aortic VHD, and rheumatic origin was the main cause in all VHDs. While the prevalence of aortic stenosis increased with age, mitral stenosis decreased with patient age. The most frequent symptom was shortness of breath (73%). Clinical and echocardiographic examinations (54%) were mostly used as diagnostic techniques for determining treatment course. Percutaneous mitral balloon valvuloplasty (PMBV) was performed in 76% of the patients with mitral stenosis and mechanical prosthetic valve replacement was performed in 74% of the patients with other lesions.
CONCLUSION This study showed that the main cause of VHD is rheumatic fever. Mitral regurgitation and multiple valvular lesions are the most frequent VHDs in Turkey. PMBV and mechanical prosthetic valve replacement are the preferred treatment methods for VHD.
Age distribution, balloon valvuloplasty, echocardiography, transesophageal, endocarditis, heart valve diseases/etiology/ surgery, rheumatic fever/epidemiology, Turkey/epidemiology.
Recep Demirbağ, Leyla Elif Sade, Mustafa Aydın, Abdi Bozkurt, Esmeray Acartürk. The Turkish registry of heart valve disease. Turk Kardiyol Dern Ars. 2013; 41(1): 1-10
Corresponding Author: Recep Demirbağ, Türkiye