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Atrioventricular valve regurgitation: still a long road ahead
  1. Claire Bouleti1,
  2. Bernard Iung2
  1. 1 Cardiology Department, University of Poitiers, Clinical Investigation Center (CIC) INSERM 1402, Poitiers University Hospital, Poitiers, France
  2. 2 Cardiology Department, AP-HP Bichat Hospital, DHU Fire, Université de Paris, Paris, France
  1. Correspondence to Professor Claire Bouleti, Cardiology, University of Poitiers, Clinical Investigation Center (CIC) INSERM 1402, Poitiers University Hospital, Poitiers 86034, France; claire.bouleti{at}

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In this issue of Heart, Cahill et al report an analysis of the OxValve cohort assessing the prevalence, presentation and outcome of atrioventricular valve regurgitations.1 The strength of the OxValve cohort is that it was prospectively designed to specifically study heart valve disease using systematic echocardiographic examination in an unselected population aged 65 years or more in a community setting. Echocardiography is the only means to reliably assess the prevalence of heart valve disease since auscultation correctly identifies only around 10% of patients with heart valve disease.2 Unbiased assessment of the prevalence and characteristics of patients with heart valve disease needs to be performed in a community setting, as illustrated by differences between the OxValve and the hospital database cohorts. Moreover, contemporary guideline-based criteria were used in the OxValve cohort for the quantification of the severity of regurgitations and the identification of their mechanisms. Such detailed analyses were not performed in the rare previous population-based studies on the epidemiology of heart valve disease. The collection of detailed and standardised echocardiographic data in a large population-based study is therefore highly relevant in the field of heart valve disease.

The unadjusted prevalence of moderate or severe mitral or tricuspid regurgitation was estimated at 2.0% in subjects aged 65–75 years and 7.7% in those aged ≥75 years. This considerable increase in the prevalence …

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  • Correction notice This article has been corrected since it was published Online First. Author name Claire Bouleti was incorrectly displayed as Bouleti Claire. This has now been amended.

  • Contributors Both authors contributed to this editorial.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Commissioned; externally peer reviewed.

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