Epidemiology of valvular heart disease in France - 15/12/24
, Amélie Gabet a, Christophe Tribouilloy b, Ariel Cohen c, Grégory Lailler a, Alain Weill d, Philippe Tuppin e, Bernard Iung f, Jacques Blacher g, Valérie Olié aGraphical abstract |
Highlights |
• | In 2022 in France, 51,894 adults were hospitalized and 7785 died from a valvular heart disease (VHD). |
• | The prevalence of VHD was estimated at 1.90% of adults (1,014,345 cases). |
• | The most common VHDs were aortic stenosis (AS) and mitral regurgitation (MR). |
• | After hospitalization due to VHD, all-cause 1-year mortality was 13.7%. |
• | In all, 56.9% of patients hospitalized for AS had transcatheter aortic valve implantation (TAVI). |
Abstract |
Background |
Demographic changes and improvements in the diagnosis and treatment of valvular heart diseases (VHDs) have led to changes in its epidemiological profile.
Aims |
To describe the epidemiology of VHD in France in 2022.
Methods |
Adults hospitalized due to VHD in 2022 were identified from the French National Health Data System and categorized by type of VHD on the basis of hospital diagnoses and interventions. Incidence and prevalence rates were calculated using national French demographic data.
Results |
In 2022, 51,894 adults (60.1% men) were hospitalized for VHD (97.0/100,000 inhabitants). The most frequently observed hospitalized VHDs were AS (61.6%) and MR (23.2%). The mean age at hospitalization was 74.0years, and this was higher for AS than MR (77.3 vs 71.2years). Infectious endocarditis was managed during the index hospitalization in 13.3% of patients. During the index hospitalization and the following 6months, 75.0% of patients underwent valve repair or replacement. Among hospitalized patients with AS, 56.9% had transcatheter aortic valve implantation and 24.9% had surgical aortic valve replacement. Among patients hospitalized for MR, 27.1% underwent surgical mitral valve repair, 12.7% transcatheter mitral valve repair and 19.1% mitral valve replacement. The all-cause death rate 1year after hospitalization for VHD was 13.7%. Overall, in France, on 1 January 2023, 1.90% of the adult population had VHD (2.08% of men and 1.72% of women). Overall, 363,574 had aortic stenosis (AS) and 409,570 had mitral regurgitation (MR).
Conclusion |
VHDs are a major burden in France, particularly degenerative valve diseases of the left heart in older adults.
Le texte complet de cet article est disponible en PDF.Keywords : Valvular heart disease, Epidemiology, Hospitalization, Prevalence, Outcomes
Plan
Vol 117 - N° 12
P. 669-681 - décembre 2024 Retour au numéro
Article précédent
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