Application of the 2016 ASE-EACVI Criteria for the Assessment of Diastolic Function in Arterial Hypertension.

Autor: Canciello G; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Izzo R; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Bossone E; Department of Public Health, University Federico II, Naples, Italy., Piccolo R; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Pacella D; Department of Public Health, University Federico II, Naples, Italy., Ferrara F; Heart Department, University Hospital of Salerno, Salerno, Italy., Lembo M; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Manzi MV; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Carbone A; Department of Public Health, University Federico II, Naples, Italy.; Cardiology Unit, Azienda Ospedaliera Universitaria Luigi Vanvitelli, Naples, Italy., Mancusi C; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Simonetti F; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Giugliano G; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Morisco C; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Cittadini A; Department of Translational Medical Sciences, Federico II University, Naples, Italy., Esposito G; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy., Losi MA; Department of Advanced Biomedical Sciences, University Federico II, Via S. Pansini, 5, 80131, Naples, Italy. losi@unina.it.
Jazyk: angličtina
Zdroj: High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension [High Blood Press Cardiovasc Prev] 2024 Jul; Vol. 31 (4), pp. 405-410. Date of Electronic Publication: 2024 Jun 15.
DOI: 10.1007/s40292-024-00655-z
Abstrakt: 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 1:1:1 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.
(© 2024. The Author(s).)
Databáze: MEDLINE
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