Valvular & structural heart diseaseCohort study

Association of systemic inflammatory indicators with incident valvular heart disease: a prospective analysis of the UK Biobank

Eur J Prev CardiolPublished

  • Prospective cohort study
  • UK Biobank

Authors' conclusion

Systemic inflammatory indices, particularly SIRI and LMR, were independently associated with incident AS, MR, and valve-related events, whereas no clear association was detected for AR.

Study context

Population
UK Biobank participants free of CVD, valvular heart disease and autoimmune disease at baseline
Participants
250,532 participants
Exposure
Systemic inflammatory indicators and incident valvular heart disease
Outcome
Incident aortic stenosis (AS), mitral regurgitation (MR), aortic regurgitation (AR) and valve-related events
Follow-up
Median 13.22 years

Main finding

As reported in the abstract

Incident AS, MR, AR and valve-related events
Estimate
Higher SIRIAS
HR per 1-SD 1.07(95% CI 1.03–1.11)
Higher SIRIMR
HR per 1-SD 1.10(95% CI 1.05–1.14)
Higher SIRIvalve-related events
HR per 1-SD 1.08(95% CI 1.03–1.13)
Higher LMRAS
HR 0.91(CI 0.86–0.96)
Higher LMRMR
HR 0.93(CI 0.89–0.98)
Higher LMRvalve-related events
HR 0.88(CI 0.82–0.94)

Observational data: associations, not effects.

Further findings

Dose-response, subgroup and sensitivity analyses

Patterns broadly consistent

Original publication

Association of systemic inflammatory indicators with incident valvular heart disease: a prospective analysis of the UK Biobank. Eur J Prev Cardiol. Published 13 July 2026. doi:10.1093/eurjpc/zwag362

Summarised from the published abstract; every number is checked against it