Shin Yi Jang1, Eun-Young Ju2, Su Ra Seo3, Ji Yeon Choi4, Sung-Ji Park1, Duk-Kyung Kim1, Seung Woo Park5. 1. Division of Cardiology, Department of Medicine, Center for Cardiovascular and Stroke Imaing, Vascular Center, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea. 2. Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea. 3. The National Health Insurance Service, Republic of Korea. 4. Department of Nursing, Samsung Medical Center, Republic of Korea. 5. Division of Cardiology, Department of Medicine, Center for Cardiovascular and Stroke Imaing, Vascular Center, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea. Electronic address: parksmc@gmail.com.
Abstract
BACKGROUND: The aim of this study is to assess the changes in the causes of valvular heart disease between 2006 and 2011 in Korea. METHODS: Data were collected from the Korean National Health Insurance Service from 2006 through 2011. These data consisted of primary diagnoses related to valvular heart disease regardless of other conditions. Valvular heart disease included non-rheumatic mitral valve disorders, non-rheumatic aortic valve disorders, rheumatic mitral valve disorders, and rheumatic aortic valve disorders. RESULTS: Overall, the age-standardized cumulative prevalence of non-rheumatic valvular heart disease was 70.6 per 100,000 persons in 2006 and 110.3 in 2011. This represented an increase from 42.2 to 65.2 in women and from 28.4 to 45.1 in men. In particular, there was a greater increase in prevalence in patients aged 65 years or older compared with groups aged 20-44 years or 45-64 years for both genders. The age-standardized cumulative prevalence of rheumatic valve disease did not change dramatically between 2006 and 2011. CONCLUSIONS: The overall age-standardized cumulative prevalence of non-rheumatic valvular heart diseases increased between 2006 and 2011, especially in individuals older than 65 years. These changes should be considered in future designs of cardiovascular healthcare services in countries with a rapidly aging population.
BACKGROUND: The aim of this study is to assess the changes in the causes of valvular heart disease between 2006 and 2011 in Korea. METHODS: Data were collected from the Korean National Health Insurance Service from 2006 through 2011. These data consisted of primary diagnoses related to valvular heart disease regardless of other conditions. Valvular heart disease included non-rheumatic mitral valve disorders, non-rheumatic aortic valve disorders, rheumatic mitral valve disorders, and rheumatic aortic valve disorders. RESULTS: Overall, the age-standardized cumulative prevalence of non-rheumatic valvular heart disease was 70.6 per 100,000 persons in 2006 and 110.3 in 2011. This represented an increase from 42.2 to 65.2 in women and from 28.4 to 45.1 in men. In particular, there was a greater increase in prevalence in patients aged 65 years or older compared with groups aged 20-44 years or 45-64 years for both genders. The age-standardized cumulative prevalence of rheumatic valve disease did not change dramatically between 2006 and 2011. CONCLUSIONS: The overall age-standardized cumulative prevalence of non-rheumatic valvular heart diseases increased between 2006 and 2011, especially in individuals older than 65 years. These changes should be considered in future designs of cardiovascular healthcare services in countries with a rapidly aging population.
Authors: Marian Abouzeid; Judith Katzenellenbogen; Rosemary Wyber; David Watkins; Timothy David Johnson; Jonathan Carapetis Journal: Heart Asia Date: 2017-10-05
Authors: Shin Yi Jang; June Huh; Eun Kyoung Kim; Sung A Chang; Jinyoung Song; I Seok Kang; Seung Woo Park Journal: J Korean Med Sci Date: 2021-02-01 Impact factor: 2.153