Burden of Valvular Heart Diseases in Hispanic/Latino Individuals in the United States: The Echocardiographic Study of Latinos

Jonathan Rubin, Shivani R. Aggarwal, Katrina R. Swett, Ajay J. Kirtane, Susheel K. Kodali, Tamim M. Nazif, Min Pu, R. Dadhania, Robert C. Kaplan, Carlos J. Rodriguez

Research output: Contribution to journalArticle

Abstract

Objective: To explore the burden and clinical correlates of valvular heart disease in Hispanics/Latinos in the United States. Patients and Methods: A total of 1818 individuals from the population-based study of Latinos/Hispanics from 4 US metropolitan areas (Bronx, New York; Chicago, Illinois; San Diego, California; and Miami, Florida) underwent a comprehensive clinical and echocardiographic examination from October 1, 2011, through June 24, 2014. Logistic regression analysis was used to examine the associations of clinical and sociodemographic variables with valvular lesions. Results: The mean age was 55.2±0.2 years; 57.4% were female. The prevalence of any valvular heart disease (AVHD) was 3.1%, with no considerable differences across sex, and a higher prevalence with increasing age. The proportion of US-born vs foreign-born individuals was similar in those with vs without AVHD (P=.31). The weighted prevalence of AVHD was highest in Central Americans (8.4%) and lowest in Mexicans (1.2%). Regurgitant lesions of moderate or greater severity were present in 2.4% of the population and stenotic lesions of moderate or greater severity in 0.2%. Compared with those without AVHD, individuals with AVHD were more likely to have health insurance coverage (59.6% vs 79.2%; P=.007) but similar income (P=.06) and educational status (P=.46). Univariate regression models revealed that regurgitant lesions were associated with lower body mass index whereas stenotic lesions were associated with higher body mass index. Conclusion: Our data provide the first population-based estimates of the prevalence of valvular heart disease in Hispanic/Latinos. Valvular heart disease is fairly common in the Hispanic/Latino population and may constitute an important public health problem.

Original languageEnglish (US)
JournalMayo Clinic Proceedings
DOIs
StatePublished - Jan 1 2019

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Heart Valve Diseases
Hispanic Americans
Population
Body Mass Index
Educational Status
Insurance Coverage
Health Insurance
Sex Characteristics
Public Health
Logistic Models
Regression Analysis

ASJC Scopus subject areas

  • Medicine(all)

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Burden of Valvular Heart Diseases in Hispanic/Latino Individuals in the United States : The Echocardiographic Study of Latinos. / Rubin, Jonathan; Aggarwal, Shivani R.; Swett, Katrina R.; Kirtane, Ajay J.; Kodali, Susheel K.; Nazif, Tamim M.; Pu, Min; Dadhania, R.; Kaplan, Robert C.; Rodriguez, Carlos J.

In: Mayo Clinic Proceedings, 01.01.2019.

Research output: Contribution to journalArticle

Rubin, Jonathan ; Aggarwal, Shivani R. ; Swett, Katrina R. ; Kirtane, Ajay J. ; Kodali, Susheel K. ; Nazif, Tamim M. ; Pu, Min ; Dadhania, R. ; Kaplan, Robert C. ; Rodriguez, Carlos J. / Burden of Valvular Heart Diseases in Hispanic/Latino Individuals in the United States : The Echocardiographic Study of Latinos. In: Mayo Clinic Proceedings. 2019.
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abstract = "Objective: To explore the burden and clinical correlates of valvular heart disease in Hispanics/Latinos in the United States. Patients and Methods: A total of 1818 individuals from the population-based study of Latinos/Hispanics from 4 US metropolitan areas (Bronx, New York; Chicago, Illinois; San Diego, California; and Miami, Florida) underwent a comprehensive clinical and echocardiographic examination from October 1, 2011, through June 24, 2014. Logistic regression analysis was used to examine the associations of clinical and sociodemographic variables with valvular lesions. Results: The mean age was 55.2±0.2 years; 57.4{\%} were female. The prevalence of any valvular heart disease (AVHD) was 3.1{\%}, with no considerable differences across sex, and a higher prevalence with increasing age. The proportion of US-born vs foreign-born individuals was similar in those with vs without AVHD (P=.31). The weighted prevalence of AVHD was highest in Central Americans (8.4{\%}) and lowest in Mexicans (1.2{\%}). Regurgitant lesions of moderate or greater severity were present in 2.4{\%} of the population and stenotic lesions of moderate or greater severity in 0.2{\%}. Compared with those without AVHD, individuals with AVHD were more likely to have health insurance coverage (59.6{\%} vs 79.2{\%}; P=.007) but similar income (P=.06) and educational status (P=.46). Univariate regression models revealed that regurgitant lesions were associated with lower body mass index whereas stenotic lesions were associated with higher body mass index. Conclusion: Our data provide the first population-based estimates of the prevalence of valvular heart disease in Hispanic/Latinos. Valvular heart disease is fairly common in the Hispanic/Latino population and may constitute an important public health problem.",
author = "Jonathan Rubin and Aggarwal, {Shivani R.} and Swett, {Katrina R.} and Kirtane, {Ajay J.} and Kodali, {Susheel K.} and Nazif, {Tamim M.} and Min Pu and R. Dadhania and Kaplan, {Robert C.} and Rodriguez, {Carlos J.}",
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T2 - The Echocardiographic Study of Latinos

AU - Rubin, Jonathan

AU - Aggarwal, Shivani R.

AU - Swett, Katrina R.

AU - Kirtane, Ajay J.

AU - Kodali, Susheel K.

AU - Nazif, Tamim M.

AU - Pu, Min

AU - Dadhania, R.

AU - Kaplan, Robert C.

AU - Rodriguez, Carlos J.

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N2 - Objective: To explore the burden and clinical correlates of valvular heart disease in Hispanics/Latinos in the United States. Patients and Methods: A total of 1818 individuals from the population-based study of Latinos/Hispanics from 4 US metropolitan areas (Bronx, New York; Chicago, Illinois; San Diego, California; and Miami, Florida) underwent a comprehensive clinical and echocardiographic examination from October 1, 2011, through June 24, 2014. Logistic regression analysis was used to examine the associations of clinical and sociodemographic variables with valvular lesions. Results: The mean age was 55.2±0.2 years; 57.4% were female. The prevalence of any valvular heart disease (AVHD) was 3.1%, with no considerable differences across sex, and a higher prevalence with increasing age. The proportion of US-born vs foreign-born individuals was similar in those with vs without AVHD (P=.31). The weighted prevalence of AVHD was highest in Central Americans (8.4%) and lowest in Mexicans (1.2%). Regurgitant lesions of moderate or greater severity were present in 2.4% of the population and stenotic lesions of moderate or greater severity in 0.2%. Compared with those without AVHD, individuals with AVHD were more likely to have health insurance coverage (59.6% vs 79.2%; P=.007) but similar income (P=.06) and educational status (P=.46). Univariate regression models revealed that regurgitant lesions were associated with lower body mass index whereas stenotic lesions were associated with higher body mass index. Conclusion: Our data provide the first population-based estimates of the prevalence of valvular heart disease in Hispanic/Latinos. Valvular heart disease is fairly common in the Hispanic/Latino population and may constitute an important public health problem.

AB - Objective: To explore the burden and clinical correlates of valvular heart disease in Hispanics/Latinos in the United States. Patients and Methods: A total of 1818 individuals from the population-based study of Latinos/Hispanics from 4 US metropolitan areas (Bronx, New York; Chicago, Illinois; San Diego, California; and Miami, Florida) underwent a comprehensive clinical and echocardiographic examination from October 1, 2011, through June 24, 2014. Logistic regression analysis was used to examine the associations of clinical and sociodemographic variables with valvular lesions. Results: The mean age was 55.2±0.2 years; 57.4% were female. The prevalence of any valvular heart disease (AVHD) was 3.1%, with no considerable differences across sex, and a higher prevalence with increasing age. The proportion of US-born vs foreign-born individuals was similar in those with vs without AVHD (P=.31). The weighted prevalence of AVHD was highest in Central Americans (8.4%) and lowest in Mexicans (1.2%). Regurgitant lesions of moderate or greater severity were present in 2.4% of the population and stenotic lesions of moderate or greater severity in 0.2%. Compared with those without AVHD, individuals with AVHD were more likely to have health insurance coverage (59.6% vs 79.2%; P=.007) but similar income (P=.06) and educational status (P=.46). Univariate regression models revealed that regurgitant lesions were associated with lower body mass index whereas stenotic lesions were associated with higher body mass index. Conclusion: Our data provide the first population-based estimates of the prevalence of valvular heart disease in Hispanic/Latinos. Valvular heart disease is fairly common in the Hispanic/Latino population and may constitute an important public health problem.

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