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January 16, 2020Circulation Arrhythmia and Electrophysiology19 citationsOpen Access

Importance of Diastolic Function for the Prediction of Arrhythmic Death

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TPThomas PezawasABAchim Leo BurgerTBThomas Binder

Key Result

Diastolic dysfunction is associated with a high risk for arrhythmic death or resuscitated cardiac arrest regardless of whether LVEF is ≤35% or >35% (P<0.001).

Study Design

Type

Cohort (n=210)

Structured PICO

Does diastolic dysfunction predict arrhythmic death or resuscitated cardiac arrest in patients with cardiomyopathy or normal LVEF?

P
Population
n=210 prospectively enrolled patients (120 with ischemic cardiomyopathy, 60 with dilated cardiomyopathy, and 30 with normal LVEF)
I
Intervention
Presence of diastolic dysfunction (grade I to III)
C
Comparator
Normal diastolic function
O
Outcome
Arrhythmic death (AD) or resuscitated cardiac arrest (RCA)hard clinical

Diastolic dysfunction grading may improve risk stratification for arrhythmic death and resuscitated cardiac arrest, independent of LVEF.

Main Result

p-value: p=<0.001

Abstract

BACKGROUND: Patients with ischemic or dilated cardiomyopathy and reduced left ventricular ejection fraction (LVEF) face a high risk for ventricular arrhythmias. Exact grading of diastolic function might improve risk stratification for arrhythmic death. METHODS: We prospectively enrolled 120 patients with ischemic, 60 patients with dilated cardiomyopathy, and 30 patients with normal LVEF. Diastolic function was graded normal (N) or dysfunction grade I to III. Primary outcome parameter was arrhythmic death (AD) or resuscitated cardiac arrest (RCA). RESULTS: 35%. Diastolic function grading might improve risk stratification for AD.

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Cite This Study

Pezawas et al. (2020) conducted a cohort in Ischemic or dilated cardiomyopathy (n=210). Diastolic dysfunction vs. Normal diastolic function was evaluated on Arrhythmic death (AD) or resuscitated cardiac arrest (RCA) (p=<0.001). Diastolic dysfunction is associated with a high risk for arrhythmic death or resuscitated cardiac arrest regardless of whether LVEF is ≤35% or >35% (P<0.001).

synapsesocial.com/papers/6a0858591e0fcf4a43e8bbb8https://doi.org/10.1161/circep.119.007757
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac Function Stratification Based on Echocardiographic or Clinical Markers of Left Ventricular Filling Pressures Predicts Death and Hospitalization Better Than Stratification by Ventricular Systolic Function Alone2007 · 8 citations
  2. 2Risk of arrhythmic death in ischemic heart disease: a prospective, controlled, observer‐blind risk stratification over 10 years2017 · 20 citations
  3. 3Diastolic function and cardiovascular events in patients with preserved left ventricular ejection fraction. Improving risk stratification with left atrial strain2025 · 2 citations
  4. 4Isolated diastolic dysfunction is associated with increased mortality in critically ill patients2023 · 12 citations
  5. 5Impact of Progression of Diastolic Dysfunction on Mortality in Patients With Normal Ejection Fraction2012 · 236 citations