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Trends and Disparities in Valvular Heart Disease Mortality in the United States From 1999 to 2020.

J Am Heart Assoc · 2024 · PMC11262520 · PMID 38587138

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a decreasing trendno p-value reported
(2) There was a decreasing trend in the overall AAMR of VHD and its subtypes, with MR recording the highest annual percentage decrease in AAMR.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.