Aortic Valvular Regurgitation: Prevalence and Clinical Characteristics in a Predominantly Obese Adult Population Not Taking Anorexigens

• Published in: Echocardiography (Mount Kisco, N.Y.) Vol. 23; no. 7; pp. 569 - 576
• Main Authors: Gardin, Julius M., Constantine, Ginger, Davis, Kelly, Leung, Cyril, Reid, Cheryl L.
• Format: Journal Article
• Language: English
• Published: Malden, USA Blackwell Publishing Inc 01.08.2006
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Aortic Valve Insufficiency - complications; Aortic Valve Insufficiency - diagnostic imaging; Aortic Valve Insufficiency - epidemiology; aortic valve regurgitation; Appetite Depressants; Blood Flow Velocity; Blood Pressure - physiology; Body Mass Index; Contraindications; echocardiography; Echocardiography, Doppler; Female; Follow-Up Studies; Humans; hypertension; Male; Middle Aged; obesity; Obesity - complications; Obesity - diagnostic imaging; Obesity - physiopathology; Prevalence; Prognosis; Prospective Studies; Risk Factors; Severity of Illness Index
• ISSN: 0742-2822; 1540-8175
• DOI: 10.1111/j.1540-8175.2006.00278.x

Background: We recently reported the prevalence of aortic regurgitation (AR) by Doppler echocardiography (echo) in obese subjects to be higher than in some previous reports. Objective: To describe the prevalence of AR in an obese population not taking anorexigens as a function of demographic characteristics, cardiovascular risk factors, and other potential predictors. Methods: In 539 adult subjects, cardiovascular status was evaluated by medical history, physical examination, and Doppler echocardiograms performed according to a standardized imaging protocol. Echocardiographic readers were blinded as to each subject's medical and medication histories. Associations of AR with demographic and comorbid factors were examined. Results: Subjects had a mean (± SD) body mass index (BMI) of 35 ± 7 kg/m2, and were predominantly white (87.6%), females (74%), with a mean age of 47 ± 12 years. AR by Food and Drug Administration criteria (≥mild) was present in 4.1% of the subjects. Covariates significantly associated with AR were increasing age (P < 0.001), presence of a history of hypertension (P = 0.001), left ventricular (LV) internal dimensions (P < 0.005), and tricuspid and mitral regurgitation grade (P < 0.001). Conclusions: Clinical and Doppler echo evaluation of a large, predominantly obese, adult population revealed that AR was more prevalent than in some previous reports and was highly correlated with increased age, presence of a history of hypertension, LV internal dimensions, tricuspid and mitral regurgitation.