The Sequential Change in Left Ventricular Function among Various Cardiovascular Diseases: A 12-Year Study

Sheng Nan Chang, Jou Wei Lin, Yi Chih Wang, Cho Kai Wu, Jun Jack Cheng, Juey Jen Hwang, Jiunn Lee Lin, Fu Tien Chiang, Yih Sharng Chen, Ron Bin Hsu, William Chen, Jin Jer Chen, Wen Pin Lien

Research output: Contribution to journalArticlepeer-review

Abstract

Background: This 12-year study aimed to compare the longitudinal change in left ventricular diastolic dysfunction (LVDD) between healthy elderly, coronary artery disease (CAD), and hypertension (HTN) patients. Methods: From 2008 to 2020, 1476 patients were included, and 3181 echocardiography examinations were conducted. Finally, 130 participants (36 healthy elderly (79.39 ± 9.51 years old), 51 with CAD (68.31 ± 12.09 years old), and 43 with HTN (68.31 ± 12.09 years old)) with more than a 10-year follow-up period were included in the final analysis. Results: The change in diastolic function was different among these subjects according to the integrated score index (elderly vs. HTN, p = 0.01; CAD vs. HTN, p = 0.01), septal E/e’ ratio (elderly vs. HTN, p < 0.001; CAD vs. HTN, p = 0.01), lateral E/e’ ratio (elderly vs. HTN, p < 0.001; CAD vs. HTN, p <0.001), and NYHA functional class (elderly vs. HTN, p = 0.03; CAD vs. HTN, p < 0.001). Additionally, per one-year increase in age, the integrated score index increased 0.2 in the healthy elderly, 0.15 in the CAD, and 0.06 in the HTN patients (all p <0.05). Conclusion: Under aggressive treatment, diastolic function was relatively preserved in HTN subjects with aging in comparison with elderly and CAD subjects.

Original languageEnglish
Article number415
JournalJournal of Personalized Medicine
Volume12
Issue number3
DOIs
Publication statusPublished - Mar 2022
Externally publishedYes

Keywords

  • 2-dimensional echocardiography
  • Coronary artery disease
  • Diastolic function
  • Elderly
  • Hypertension
  • Integrated score index
  • Tissue Doppler imaging

ASJC Scopus subject areas

  • Medicine (miscellaneous)

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