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February 13, 2017Journal of Clinical Hypertension14 citationsOpen Access

Association between reduced arterial stiffness and preserved diastolic function of the left ventricle in middle‐aged and elderly patients

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KPKyung‐Taek ParkHKHack‐Lyoung KimSOSohee Oh

Key Result

Low brachial-ankle pulse wave velocity (<1314 cm/s) was independently associated with normal left ventricular diastolic function (OR 2.58; 95% CI 1.46-4.57; P=0.001).

Study Design

Type

Observational (n=267)

Structured PICO

Is low arterial stiffness associated with preserved left ventricular diastolic function in middle-aged and elderly patients without cardiovascular disease?

P
Population
267 Korean patients aged ≥50 years without documented cardiovascular disease.
E
Exposure
Low brachial-ankle pulse wave velocity (<1314 cm/s)
C
Comparator
Higher brachial-ankle pulse wave velocity (≥1314 cm/s)
O
Outcome
Normal diastolic function (defined as septal annular peak velocity (e’) ≥8 cm/s and left atrial volume index <34 mL/m2)surrogate

Reduced arterial stiffness is independently associated with preserved left ventricular diastolic function in middle-aged and older adults without known cardiovascular disease.

Main Result

Odds Ratio: 2.58 (95% CI 1.46–4.57)

p-value: p=0.001

Abstract

The aim of this study was to investigate whether arterial stiffness plays a role in retaining normal diastolic function in a middle‐aged and elderly Korean population. A total of 267 patients without documented cardiovascular disease, 50 years and older (mean age, 57.3±6.3 years; 69.8% men) were retrospectively analyzed. All patients underwent both transthoracic echocardiography and brachial‐ankle pulse wave velocity measurement on the same day. Patients with septal annular peak velocity (e’) ≥8 cm/s and left atrial volume index <34 mL /m 2 were considered as having normal diastolic function. Ninety‐eight patients (36.7%) had normal diastolic function. Low brachial‐ankle pulse wave velocity (<1314 cm/s) was an independent factor for determining normal diastolic function even after controlling for potential confounders in multiple logistic regression analysis (odds ratio, 2.58; 95% confidence interval, 1.46–4.57; P =.001). Our results suggest that compliant arteries may play an important role in maintaining normal left ventricular diastolic function in middle‐aged and elderly patients without documented cardiovascular disease.

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Cite This Study

Park et al. (2017) conducted an observational in Without documented cardiovascular disease (n=267). Low brachial-ankle pulse wave velocity (<1314 cm/s) vs. Higher brachial-ankle pulse wave velocity was evaluated on Normal diastolic function (OR 2.58, 95% CI 1.46-4.57, p=0.001). Low brachial-ankle pulse wave velocity (<1314 cm/s) was independently associated with normal left ventricular diastolic function (OR 2.58; 95% CI 1.46-4.57; P=0.001).

synapsesocial.com/papers/6a1ec1a2ae66660099a44819https://doi.org/10.1111/jch.12968
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