Patent foramen ovale epidemiology and demographics: Difference between revisions
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*It is more common in those under the age of 30 and less common in those above 80 years. | *It is more common in those under the age of 30 and less common in those above 80 years.<ref name="YuanKasner2018">{{cite journal|last1=Yuan|first1=Kristy|last2=Kasner|first2=Scott Eric|title=Patent foramen ovale and cryptogenic stroke: diagnosis and updates in secondary stroke prevention|journal=Stroke and Vascular Neurology|volume=3|issue=2|year=2018|pages=84–91|issn=2059-8688|doi=10.1136/svn-2018-000173}}</ref> | ||
*The incidence of patent foramen ovale varies with age:<ref name="pmid6694427">{{cite journal| author=Hagen PT, Scholz DG, Edwards WD| title=Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. | journal=Mayo Clin Proc | year= 1984 | volume= 59 | issue= 1 | pages= 17-20 | pmid=6694427 | doi= | pmc= | url= }} </ref> | *The incidence of patent foramen ovale varies with age:<ref name="pmid6694427">{{cite journal| author=Hagen PT, Scholz DG, Edwards WD| title=Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. | journal=Mayo Clin Proc | year= 1984 | volume= 59 | issue= 1 | pages= 17-20 | pmid=6694427 | doi= | pmc= | url= }} </ref> | ||
**0-30 years: 34.3% | **0-30 years: 34.3% |
Revision as of 16:05, 6 February 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [3]
Overview
Approximately 1 in every three normal adults have a patent foramen ovale.[1] The incidence decreases with increasing age, but the size increases with age. There is no difference in the incidence associated with gender.
Epidemiology and Demographics
Prevalence
- The prevalence of patent foramen ovale is approximately 25,000 per 100,000 individuals worldwide..[2]
Age
- It is more common in those under the age of 30 and less common in those above 80 years.[3]
- The incidence of patent foramen ovale varies with age:[4]
- 0-30 years: 34.3%
- 40-80 years: 25.4%
- 90+ years: 20.2%
- PFO size increases with age, from a mean of approximately 3mm in the first decade to approximately 6 mm in the 10th decade of life.[4]
- In patients <55 years with an unexplained cardiovascular event, patent foramen ovale is the most common cardiac finding seen. It is presumed to be caused by a paradoxical emboli.[5]
Race
- There is no racial predilection to patent foramen ovale.[6]
Gender
Patent foramen ovale affects men and women equally.[6]
References
- ↑ Meissner I, Whisnant JP, Khandheria BK, Spittell PC, O'Fallon WM, Pascoe RD; et al. (1999). "Prevalence of potential risk factors for stroke assessed by transesophageal echocardiography and carotid ultrasonography: the SPARC study. Stroke Prevention: Assessment of Risk in a Community". Mayo Clin Proc. 74 (9): 862–9. PMID 10488786.
- ↑ Sun YP, Homma S (2016). "Patent Foramen Ovale and Stroke". Circ J. 80 (8): 1665–73. doi:10.1253/circj.CJ-16-0534. PMID 27334127.
- ↑ Yuan, Kristy; Kasner, Scott Eric (2018). "Patent foramen ovale and cryptogenic stroke: diagnosis and updates in secondary stroke prevention". Stroke and Vascular Neurology. 3 (2): 84–91. doi:10.1136/svn-2018-000173. ISSN 2059-8688.
- ↑ 4.0 4.1 Hagen PT, Scholz DG, Edwards WD (1984). "Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts". Mayo Clin Proc. 59 (1): 17–20. PMID 6694427.
- ↑ Pinto FJ (2005). "When and how to diagnose patent foramen ovale". Heart. 91 (4): 438–40. doi:10.1136/hrt.2004.052233. PMC 1768819. PMID 15772190.
- ↑ 6.0 6.1 Gupta V, Yesilbursa D, Huang WY, Aggarwal K, Gupta V, Gomez C; et al. (2008). "Patent foramen ovale in a large population of ischemic stroke patients: diagnosis, age distribution, gender, and race". Echocardiography. 25 (2): 217–27. doi:10.1111/j.1540-8175.2007.00583.x. PMID 18269568.