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Aortic Valve Sclerosis and Degenerative Valve Disease in a Nigerian Population: An Echocardiographic Study Cover

Aortic Valve Sclerosis and Degenerative Valve Disease in a Nigerian Population: An Echocardiographic Study

Open Access
|Aug 2025

Figures & Tables

Table 1

Baseline characteristics of patients.

VARIABLESTOTAL N = 4030<65 YEARS N = 3148 (78.1%)≥65 YEARS N = 882 (21.9%)P-VALUE
Sociodemographic
      Age (years)52 ± 1547 ± 1173 ± 7<0.001
      Sex0.833
            Male1886 (46.8%)1476 (46.9%)410 (46.5%)
            Female2144 (53.2%)1672 (53.1%)472 (53.5%)
Clinical
      Obesity1649 (45.4%)1361 (46.4%)288 (41.3%)0.003
      Body mass index (kg/m2)29.8 ± 6.130.0 ± 6.129.2 ± 6.00.153
      Hypertension2167 (53.8%)1620 (51.5%)547 (62.0%)<0.001
      Stroke60 (1.5%)39 (1.2%)21 (2.4%)0.013
      Diabetes mellitus143 (3.5%)97 (3.1%)46 (5.2%)0.002
      Ischemic heart disease58 (1.4%)27 (0.9%)31 (3.5%)<0.001
Echocardiographic
      Left atrial diameter (mm)35.7 ± 6.735.5 ± 6.636.2 ± 7.00.011
      Aortic root diameter (mm)29.2 ± 4.929.0 ± 5.029.8 ± 4.6<0.001
      IVSTD (mm)12.5 ± 3.012.3 ± 3.013.2 ± 3.2<0.001
      PWTD (mm)10.6 ± 2.510.5 ± 2.310.9 ± 2.4<0.001
      LVIDD (mm)48.0 ± 8.448.4 ± 8.146.8 ± 9.1<0.001
      LVIDS (mm)30.3 ± 9.330.4 ± 9.129.8 ± 9.90.075
      RWT0.46 ± 0.10.45 ± 0.10.49 ± 0.2<0.001
      LVMI (g/m2)112.5 ± 41.6110.7 ± 40.7120.1 ± 44.3<0.001
      LVH1830 (50.5%)1421 (48.5%)409 (58.8%)<0.001
      Ejection fraction (%)66.0 ± 1467.0 ± 13.065.0 ± 15.00.016
      Fractional shortening (%)38.0 ± 10.038.0 ± 10.037.0 ± 11.00.057
      E velocity (m/s)0.82 ± 3.30.84 ± 3.60.77 ± 2.10.575
      A velocity (m/s)1.34 ± 23.71.41 ± 26.51.10 ± 6.10.553
      E/A1.26 ± 2.21.28 ± 1.61.21 ± 3.70.602
      E′ velocity (m/s)0.15 ± 2.40.17 ± 2.80.09 ± 0.20.120
      E/E′9.4 ± 15.68.96 ± 14.410.94 ± 19.00.002
      Aortic sclerosis169 (4.2%)53 (1.7%)116 (13.2%)<0.001
      Degenerative mitral valve disease10 (0.2%)1 (0.0%)9 (1.0%)<0.001*
      Calcific aortic valve disease48 (1.2%)18 (0.6%)30 (3.4%)<0.001
            Mild25 (0.6%)9 (0.3%)16 (1.8%)
            Moderate12 (0.3%)3 (0.1%)9 (1.0%)
            Severe11 (0.3%)6 (0.2%)5 (0.6%)
      DVD53 (1.3%)19 (0.6%)34 (3.9%)<0.001

[i] IVSTD, interventricular septal thickness in diastole; PWTD, left ventricular posterior wall thickness in diastole; LVIDD, left ventricular internal dimension in diastole; LVIDD, left ventricular internal dimension in systole; RWT, relative wall thickness; LVMI, left ventricular mass index; LVH, left ventricular hypertrophy; DVD, degenerative valve disease.

*Fishers exact test.

Table 2

Multivariable logistic regression of co-variates and aortic sclerosis.

AORTIC SCLEROSIS
VARIABLESODDS RATIO (CONFIDENCE INTERVAL)P-VALUE
Age ≥65 years7.99 (5.51–11.59)<0.001
Sex0.89 (0.62–1.29)0.540
Obesity0.78 (0.54–1.13)0.185
Hypertension3.98 (2.44–6.49)<0.001
Diabetes1.87 (0.93–3.77)0.078
Stroke2.26 (0.61–8.35)0.221
Ischemic heart disease1.49 (0.41–5.39)0.540
Left ventricular hypertrophy1.61 (1.10–2.34)0.672

[i] Model fit of P < 0.001, Cox & Snell R2 of 0.058, Nagelkerke R2 of 0.207, Homer and Lemeshow test of 0.262.

Table 3

Multivariable logistic regression of co-variates and calcific aortic valve disease.

CALCIFIC AORTIC VALVE DISEASE
VARIABLESODDS RATIO (CONFIDENCE INTERVAL)P-VALUE
Age ≥65 years4.25 (2.17–8.30)<0.001
Sex0.82 (0.42–1.61)0.564
Obesity0.53 (0.26–1.08)0.079
Hypertension2.48 (1.10–5.63)0.029
Diabetes1.34 (0.31–5.89)0.698
Stroke2.66 (0.33–21.21)0.357
Ischemic heart disease1.66 (0.21–13.43)0.635
Left ventricular hypertrophy5.35 (2.07–13.85)0.001

[i] Model fit of P < 0.001, Cox & Snell R2 of 0.015, Nagelkerke R2 of 0.136, Homer and Lemeshow test of 0.060.

DOI: https://doi.org/10.5334/gh.1455 | Journal eISSN: 2211-8179
Language: English
Submitted on: Mar 16, 2025
Accepted on: Jul 24, 2025
Published on: Aug 19, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Olugbenga O. Abiodun, Ibrahim L. Salau, Tina Anya, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.