Aortic Valve Disease, Aortic Valve Insufficiency, Aortic Valve Stenosis, Heart Valve Diseases
Conditions
Brief summary
With the aging of Chinese population, degenerative valvular disease is becoming more and more frequent, which has brought a heavy burden to our society. Taking aortic stenosis (AS) as an example, the incidence of AS in population over the age of 65 are about 2%, and in population above the age of 85 can be amounted to 4-8%, in the Western country. Since the invention of transcatheter aortic valve replacement (TAVR),aortic valve disease (AVD),including AS and aortic regurgitation (AR), has attracted more and more attention. To date, there are few data about the prevalence of AVD in China. The characteristics and prognosis of AVD in China are still unknown. Therefore, the investigators design a prospective, observational cohort study to investigate characteristics, treatments and prognosis of AVD in Chinese elderly population. The results of the study will provide a basis for the future national health policy for prevention and treatment of AVD in the elderly.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe AS or AR indicated by echocardiography ; * 60 years old or older.
Exclusion criteria
* Having both Severe AR and Severe AS; * Having underwent surgical or transcatheter treatment for AVD; * Non-degenerative AVD.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiovascular (CV) death or hospitalization for heart failure (HF) | 36 months | from date of enrollment until the date of first documented HF or date of death from any cause, whichever came first, up to 36 months |
| Surgical or transcatheter aortic valve replacement | 36 months | from date of enrollment until the date of surgical or transcatheter aortic valve replacement, whichever came first, up to 36 months |
Secondary
| Measure | Time frame |
|---|---|
| Number of all-cause mortality | from date of enrollment until the date of death for any-cause, up to 36 months |
| Number of patients developing major cardiovascular and cerebral events (MACCE) | 36 moths |