Valvular & structural heart diseaseResearch article

Valvular Heart Diseases in Swedish Males and Females

JACC AdvPublished

  • nationwide Swedish study

Authors' conclusion

We observed certain sex differences, with, in general, a higher incidence rate among males of valvular heart disease diagnoses, but a lower risk of specific valve disorders. The underlying factors for the sex differences are unclear and need further investigation.

Study context

Population
All individuals in Sweden; valvular heart diseases defined as at least 1 registered diagnosis in the National Patient Register between January 1, 1998, and December 31, 2018all individuals · males 4,969,472 · females 5,015,286
Participants
9,984,758 individuals
Comparison
incident valvular heart diseases in males vs females
  • malesn = 4,969,472
  • femalesn = 5,015,286reference

Main finding

As reported in the abstract

Incident valvular heart disease (overall incidence rate per 100,000 person-years)

males

68.6

111,315 of 4,969,472

females

51.3

107,527 of 5,015,286

Further findings

OutcomeHR (95% CI)
Valve disorders by type — males vs females · rheumatic mitral valve disorders0.50 (0.46–0.53)
Valve disorders by type — males vs females · rheumatic aortic valve disorders1.08 (0.99–1.18)
Valve disorders by type — males vs females · rheumatic tricuspid valve disorders0.61 (0.57–0.66)
Valve disorders by type — males vs females · nonrheumatic mitral valve disorders1.08 (1.06–1.10)
Valve disorders by type — males vs females · nonrheumatic aortic valve disorders1.25 (1.24–1.27)
Valve disorders by type — males vs females · nonrheumatic tricuspid valve disorders0.72 (0.68–0.77)
Valve disorders by type — males vs females · pulmonary valve disorders0.82 (0.75–0.90)
  • Valve disorders by type: adjusted for age, comorbidities, and sociodemographic factors

Original publication

Valvular Heart Diseases in Swedish Males and Females. JACC Adv. Published 19 March 2026. doi:10.1016/j.jacadv.2026.102666

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