Table 3.
Cox proportional univariate and multivariate analysis to identify factors independently associated with clinically significant MR regression.
|
| ||||
|---|---|---|---|---|
| POTENTIAL PREDICTORS OF MITRAL VALVE REGRESSION | UNIVARIATE ANALYSIS | MULTIVARIATE ANALYSIS | ||
|
|
|
|||
| HR (95%CI) | p* | AHR (95%CI) | p | |
|
| ||||
| Age at presentation | 0.93 (0.83–1.04) | 0.218 | ||
|
| ||||
| Female gender | 1.06 (0.59–1.91) | 0.842 | ||
|
| ||||
| Domicile in capital city | 0.90 (0.47–1.72) | 0.747 | ||
|
| ||||
| ESR level | 1.01 (1.00–1.02) | 0.007 | 1.01 (1.01 – 1.03) | 0.01 |
|
| ||||
| CRP level | 1.00 (1.00–1.01) | 0.798 | ||
|
| ||||
| Presented with heart failure | 1.35 (0.73–2.50) | 0.332 | ||
|
| ||||
| Severe carditis at presentation | 5.83 (1.80–18.91) | 0.003 | 4.14 (1.02–16.86) | 0.05 |
|
| ||||
| Administration of glucocorticoids | 0.99 (0.93–1.06) | 0.759 | ||
|
| ||||
| Duration of prednisolone treatment | 0.99 (0.95–1.03) | 0.590 | ||
|
| ||||
| Duration of ASA treatment | 1.00 (0.99–1.01) | 0.741 | ||
|
| ||||
| Duration of bed rest | 1.00 (0.99–1.01) | 0.741 | ||
|
| ||||
| Good compliance with ATB prophylaxis | 1.29 (0.54–3.04) | 0.566 | ||
|
| ||||
| Presence with MR alone | 0.56 (0.26–1.20) | 0.136 | ||
|
| ||||
| Z-score LVEDD at presentation | 1.39 (1.15 – 1.69) | 0.001 | 1.12 (0.87 – 1.46) | 0.381 |
|
| ||||
| Z-score LVESD at presentation | 1.46 (1.16 – 1.83) | 0.001 | ||
|
| ||||
| LVEF | 1.00 (0.95–1.06) | 0.919 | ||
|
| ||||
| Z-score LVEDD at last follow up | 0.94 (0.80 – 1.10) | 0.426 | ||
|
| ||||
| Z-score LVESD at last follow up | 0.97 (0.93 – 1.14) | 0.727 | ||
|
| ||||
| History of recurrent ARF | 0.89 (0.38–2.11) | 0.793 | ||
|
| ||||
A p-value < 0.05 is considered statistically significant.
*Factors with a p-value < 0.20 from univariate logistic regression analysis were included in the multivariate analysis.
Abbreviations: aHR, adjusted hazard ratio; AR, aortic valve regurgitation; ASA, acetylsalicylic acid or aspirin; ATB, antibiotic drugs; CI, confidence interval; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; HR, hazard ratio; LVEDD, left ventricular end-diastolic diameter; LVEF, left ventricular ejection fraction; LVESD, left ventricular end-systolic diameter; MR, mitral valve regurgitation.