Metadata

Name Nonrheumatic mitral valve disorders (nonRh_mitral)
Category Cardiovascular
Sex
Adult Yes
UUID b7b5dd9a-c9e9-4ecd-ae5a-84097d70381c
Definition Abnormalities of a valve in the heart that are not caused by or related to rheumatism and affect the way that the blood flows from the heart.

Ontologies

SNOMED-CT 708121009

Key Summary Statistics

Cases from any source

Total 7042
Female (%) 3296 (47%)
Male (%) 3746 (53%)

Year first recorded

nonRh_mitral year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced nonRh_mitral cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of nonRh_mitral

Baseline prevalence stratified by sex

Female 44.32 (39.85,48.79)
Male 48.72 (43.61,53.82)

Incidence stratified by sex

Female 5.19 (4.6,5.79)
Male 7.52 (6.74,8.3)

Incidence stratified by age

Ages 40-44 1.41 (0.67,2.15)
Ages 45-49 2.38 (1.55,3.2)
Ages 50-54 3.31 (2.41,4.21)
Ages 55-59 5.27 (4.24,6.3)
Ages 60-64 7.23 (6.19,8.26)
Ages 65-69 13.35 (11.74,14.97)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB nonRh_mitral prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 30 (25,36) 58 (53,65) 114 (108,122)
CALIBER 35 (34,37) 68 (65,70) 137 (133,141)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 24(14,38) 49(38,63) 113(98,129)
Low 16(8,29) 48(37,61) 116(101,132)
Medium 45(32,63) 57(45,72) 106(92,122)
High 34(23,48) 69(56,85) 109(94,126)
Most deprived 30(20,42) 67(54,82) 130(113,149)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 29(24,36) 55(48,61) 106(99,114)
Scotland 28(15,47) 72(56,92) 163(139,189)
Wales 41(22,71) 72(50,99) 131(105,161)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=147230, Events=709

Factor Level Hazard Ratio P value
BMI overweight 1.31 (1.08, 1.58) 0.00511
BMI obese 1.42 (1.15, 1.75) 0.0011
BMI underweight 0 (0, Inf) 0.982
smoking previous 1.11 (0.94, 1.32) 0.217
smoking current 2.52 (2.07, 3.07) 3.95e-20
hypertension yes 1.42 (1.21, 1.67) 1.57e-05

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1488 mitral valve prolapse
41202 Diagnoses - main ICD10 I34 Nonrheumatic mitral valve disorders
41204 Diagnoses - secondary ICD10 I34 Nonrheumatic mitral valve disorders
40001 Underlying (primary) cause of death: ICD10 I34 Nonrheumatic mitral valve disorders
40002 Contributory (secondary) causes of death: ICD10 I34 Nonrheumatic mitral valve disorders
42040 GP clinical event records G114.00 Ruptured mitral valve cusp
42040 GP clinical event records G11..00 Mitral valve diseases
42040 GP clinical event records G11z.00 Mitral valve disease NOS
42040 GP clinical event records G540000 Mitral incompetence, non-rheumatic
42040 GP clinical event records G540100 Mitral incompetence, cause unspecified
42040 GP clinical event records G540200 Mitral valve prolapse
42040 GP clinical event records G540300 Mitral valve leaf prolapse
42040 GP clinical event records G540.00 Mitral valve incompetence
42040 GP clinical event records G540.12 Mitral valve insufficiency
42040 GP clinical event records G540.14 Mitral valve regurgitation
42040 GP clinical event records G540.15 Mitral valve prolapse
42040 GP clinical event records G540.16 Mitral regurgitation
42040 GP clinical event records G540z00 Mitral valve disorders NOS
42040 GP clinical event records Gyu1000 [X]Other mitral valve diseases
42040 GP clinical event records Gyu5500 [X]Other nonrheumatic mitral valve disorders
42040 GP clinical event records X200u Mitral valve prolapse