$validator = new Zend_Validate_Db_RecordExists('db_table_name', 'column_name');
if ($validator->isValid(122)) {
   ...
}

which made it useless when you’d like to compare by more than one column. Now this is changed and you can even exclude given rows by adding an exclude clause.

$validator = new Zend_Validate_Db_NoRecordExists(
    array(
        'table' => 'users',
        'field' => 'username',
        'exclude' => array(
            'field' => 'id',
            'value' => $user_id
        )
    )
);