Valvular & structural heart disease

Asthma and risk of degenerative valvular heart disease: a prospective cohort study

HeartPublished prospective cohort study

Authors' conclusion

Asthma is independently associated with a modestly increased risk of several degenerative VHDs, particularly aortic and mitral valve diseases. These findings suggest a potential shared inflammatory pathway and highlight the need for heightened cardiovascular surveillance in individuals with asthma.

Study context

Population
UK Biobank participants free of valvular heart disease (VHD) at baselinefree of VHD at baseline
Participants
483,735 participants
Exposure
Association between asthma and incident degenerative VHD
Outcome
Incident VHD events
Follow-up
Median 13.8 years

Main finding

As reported in the abstract

Aortic stenosis (AS)

5388

Aortic regurgitation (AR)

2650

Mitral regurgitation (MR)

6088

Pulmonary regurgitation (PR)

821

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
AS1.31 (1.21–1.41)
ARAsthmavs No asthma1.24 (1.11–1.39)
ARAsthmavs No asthmaAfter adjusting for asthma medications1.12 (0.97–1.30)
MR1.19 (1.10–1.28)
PR1.34 (1.10–1.62)

Sensitivity analyses

Results were robust across multiple sensitivity analyses, including adjustment for asthma duration and exclusion of participants with pre-existing cardiovascular disease

Original publication

Asthma and risk of degenerative valvular heart disease: a prospective cohort study. Heart. Published 19 August 2025. doi:10.1136/heartjnl-2024-325575

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