Application of the 2016 ASE-EACVI Criteria for the Assessment of Diastolic Function in Arterial Hypertension.
High Blood Press Cardiovasc Prev
; 31(4): 405-410, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38879642
ABSTRACT
INTRODUCTION:
No data are available on the diagnostic algorithms recommended by guidelines for the assessment of diastolic dysfunction (DD) in patients with arterial hypertension.AIM:
To fill this gap, we evaluated diastolic function in hypertensive patients with and without LVH matched with healthy subjects by applying 2016 American Society of Echocardiography-European Association of Cardiovascular Imaging Guidelines for the evaluation of LV diastolic function.METHODS:
717 healthy and hypertensives with normal LV ejection fraction and with and without LV hypertrophy (LVH), matched 111 from two prospective registries, represented the study population.RESULTS:
By applying algorithm A, indeterminate pattern was found in 0.4% of healthy, in 6.3% of hypertensives without LVH, and in 21% with LVH (overall p < 0.05 vs. healthy). DD was absent in healthy, however present in 2 and 8% of hypertensives without and with LVH (p = 0.06 and p = 0.001 vs. healthy, respectively). By applying algorithm B, no cases of indeterminate pattern were found. DD was observed in 2.9% of healthy, 7 and 10.5% of hypertensives without and with LVH (p < 0.05 vs. healthy).CONCLUSIONS:
The use of algorithm A should be limited only to truly normal subjects, whereas algorithm B should be applied to all patients with hypertension, even without comorbidities and irrespective of LVH.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Algoritmos
/
Sistema de Registros
/
Valor Preditivo dos Testes
/
Função Ventricular Esquerda
/
Hipertrofia Ventricular Esquerda
/
Diástole
/
Hipertensão
Limite:
Adult
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Aged
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Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
High Blood Press Cardiovasc Prev
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Itália