Table 2.
Total (n = 242) | Males (n = 254) | Females (n = 288) | |||||||
---|---|---|---|---|---|---|---|---|---|
MVP (−) (n = 2360) |
MVP (+) (n = 82) |
p-value | MVP (−) (n = 2077) |
MVP (+) (n = 77) |
p-value | MVP (−) (n = 283) |
MVP (+) (n = 5) |
p-value | |
Cardiac geometry* | |||||||||
Aortic valve open (mm), PLAX | 19.84 ± 2.04 | 19.46 ± 2.08 | 0.15 | 20.13 ± 1.91 | 19.68 ± 1.96 | 0.10 | 17.75 ± 1.67 | 16.20 ± 0.45 | 0.05 |
Aortic root dimension (mm), PALX | 29.53 ± 3.53 | 29.48 ± 2.67 | 0.87 | 29.95 ± 3.44 | 29.74 ± 2.53 | 0.78 | 26.40 ± 2.34 | 25.40 ± 1.14 | 0.55 |
LV mass (gm), PLAX | 149.12 ± 35.76 | 155.38 ± 36.26 | < 0.01 | 154.82 ± 33.55 | 158.70 ± 34.82 | 0.02 | 107.26 ± 20.44 | 104.21 ± 9.73 | 0.83 |
LV posterior wall (mm), PLAX | 8.53 ± 1.11 | 8.73 ± 1.13 | 0.01 | 8.69 ± 1.05 | 8.84 ± 1.08 | 0.03 | 7.36 ± 0.79 | 7.00 ± 0.00 | 0.47 |
LV internal dimension in diastole (mm), PLAX | 48.78 ± 3.71 | 49.10 ± 3.40 | 0.16 | 49.26 ± 3.51 | 49.35 ± 3.32 | 0.35 | 45.22 ± 3.16 | 45.20 ± 2.28 | 0.69 |
LV internal dimension in systole (mm), PLAX | 30.56 ± 3.44 | 30.64 ± 3.39 | 0.74 | 30.94 ± 3.38 | 30.73 ± 3.45 | 0.93 | 27.87 ± 2.55 | 29.00 ± 1.72 | 0.37 |
Interventricular septum, (mm), PLAX | 8.74 ± 1.21 | 8.95 ± 1.13 | 0.02 | 8.91 ± 1.15 | 9.04 ± 1.11 | 0.08 | 7.48 ± 0.85 | 7.60 ± 0.55 | 0.45 |
RV wall thickness (mm)a, PLAX | 4.66 ± 0.63 | 4.40 ± 0.68 | < 0.01 | 4.70 ± 0.62 | 4.42 ± 0.69 | < 0.01 | 4.33 ± 0.58 | 4.07 ± 0.50 | 0.50 |
RV outflow tract dimension in diastole (mm), PLAX | 26.57 ± 3.99 | 25.41 ± 4.35 | 0.01 | 26.79 ± 3.97 | 25.68 ± 4.35 | 0.06 | 24.96 ± 3.76 | 21.40 ± 1.14 | 0.05 |
Left atrial dimension (mm), PLAX | 32.88 ± 4.06 | 32.10 ± 4.17 | 0.15 | 33.22 ± 4.06 | 32.32 ± 4.18 | 0.26 | 30.38 ± 3.03 | 28.60 ± 2.07 | 0.33 |
LV hypertrophy | 114 [4.8] | 3 [3.7] | 0.62 | 102 [4.9] | 3 [3.9] | 0.68 | 12 [4.2] | 0 [00.0] | 0.63 |
RV hypertrophya | 206 [10.1] | 2 [2.9] | 0.04 | 187 [10.5] | 2 [3.1] | 0.05 | 19 [7.5] | 0 [00.0] | 0.52 |
Cardiac functional assessment | |||||||||
LV ejection fraction (%), PLAX | 61.90 ± 5.06 | 62.61 ± 4.23 | 0.21 | 61.97 ± 5.13 | 62.64 ± 4.32 | 0.26 | 61.43 ± 4.44 | 62.20 ± 2.59 | 0.70 |
Tricuspid valve prolapse, PSAX | 388 [16.4] | 17 [20.7] | 0.30 | 350 [16.9] | 16 [20.8] | 0.36 | 38 [13.4] | 1 [20.0] | 0.67 |
Aortic regurgitation ≥ mild grade | 38 [1.6] | 1 [1.2] | 0.78 | 34 [1.6] | 1 [1.3] | 0.81 | 4 [1.4] | 0 [0.0] | 0.78 |
Mitral regurgitation ≥ mild grade | 1760 [74.6] | 69 [84.1] | 0.04 | 1544 [74.3] | 65 [84.4] | 0.04 | 216 [76.3] | 4 [80.0] | 0.84 |
Pulmonary regurgitation ≥ mild grade | 1442 [61.1] | 53 [64.6] | 0.51 | 1293 [62.3] | 50 [64.9] | 0.63 | 149 [52.7] | 3 [60.0] | 0.74 |
Tricuspid regurgitation ≥ mild grade | 1884 [79.8] | 62 [75.6] | 0.35 | 1657 [79.8] | 60 [77.9] | 0.69 | 227 [80.2] | 2 [40.0] | 0.02 |
RV systolic pressure (mmHg) | 27.31 ± 4.67 | 26.63 ± 4.62 | 0.19 | 27.39 ± 4.70 | 26.81 ± 4.66 | 0.29 | 26.73 ± 4.35 | 23.80 ± 2.78 | 0.13 |
Peak E velocity (cm/s) | 85.84 ± 15.49 | 86.26 ± 14.70 | 0.81 | 84.69 ± 15.02 | 86.02 ± 15.03 | 0.44 | 93.91 ± 17.17 | 89.90 ± 8.41 | 0.60 |
Peak A velocity (cm/s) | 49.46 ± 10.72 | 45.87 ± 9.83 | < 0.01 | 49.28 ± 10.67 | 46.01 ± 10.06 | < 0.01 | 50.80 ± 11.04 | 43.78 ± 5.41 | 0.15 |
E/A ratio | 1.81 ± 0.50 | 1.95 ± 0.46 | 0.01 | 1.79 ± 0.49 | 1.94 ± 0.48 | 0.01 | 1.94 ± 0.57 | 2.06 ± 0.10 | 0.65 |
Peak E′ velocity (cm/s) | 16.73 ± 5.72 | 15.98 ± 3.19 | 0.24 | 16.56 ± 5.93 | 15.94 ± 3.23 | 0.37 | 17.99 ± 3.70 | 16.54 ± 2.80 | 0.38 |
Peal A′ velocity (cm/s) | 8.30 ± 3.17 | 7.34 ± 1.98 | < 0.01 | 8.28 ± 3.27 | 7.34 ± 2.01 | 0.01 | 8.47 ± 2.27 | 7.31 ± 1.48 | 0.25 |
E′/A′ ratio | 2.19 ± 1.08 | 2.34 ± 0.84 | 0.21 | 2.18 ± 1.12 | 2.34 ± 0.85 | 0.21 | 2.26 ± 0.69 | 2.35 ± 0.64 | 0.76 |
Continuous variables are expressed as mean ± SD (standard deviation), and categorical variables as N [%].
BSA body surface area, LV left ventricle, RV right ventricle, PLAX echocardiographic parasternal long axis view, PSAX echocardiographic parasternal short axis view
aN = 2102 in total (N = 1842 for males and N = 260 for females).
*indicates the p-value for the echocardiographic geometry variables with adjustment for body surface area.