Valvular & structural heart disease

Valvular Heart Disease Associations With Cardiac Biomarkers Using AI-Guided Echocardiography: The RURAL Cohort Study

JACC AdvPublished Cross-sectional study

Authors' conclusion

MVP prevalence aligned with population-based epidemiologic studies. PREVENT risk category may identify individuals at higher risk for MVP and for other VHD.

Study context

Population
Rural US South cohort (Risk Underlying Rural Areas Longitudinal study)68.7% women
Participants
2,621 participants
Outcome
Prevalence of MVP and other valvular heart disease

Main finding

As reported in the abstract

Prevalence

Mitral valve prolapse (MVP) prevalence

1.9%

Other valvular heart disease prevalence

11.2%

Observational data: associations, not effects.

Further findings

OutcomeEstimate
High-sensitivity cardiac troponin T, MVP vs non-MVPLower in MVP; no difference by MVP severity · subset0.64 (95% CI 0.58–0.71)
NT-proBNP, severe MVP vs non-MVPHigher in severe MVP · subset2.03 (95% CI 1.49–2.78)

MVP and other valvular heart disease by PREVENT 10-year cardiovascular disease (CVD) risk category (vs low risk)

Odds of MVP lower and odds of other valvular heart disease higher in borderline and intermediate/high vs low PREVENT risk

Original publication

Valvular Heart Disease Associations With Cardiac Biomarkers Using AI-Guided Echocardiography: The RURAL Cohort Study. JACC Adv. Published 16 December 2025. doi:10.1016/j.jacadv.2025.102420

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