Registry report of structural and functional cardiac abnormalities diagnosed by echocardiography in an asymptomatic population
| Autor: | Darlington O. Okonko, Amit K J Mandal, Donald R. J. Singer, Paul Highett-Smith, Apurva Bharucha, Constantinos G Missouris, Mohamed Al-Obaidi |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Heart disease Cost-Benefit Analysis Population 030204 cardiovascular system & hematology Asymptomatic 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Risk Factors Internal medicine Prevalence medicine Humans Mass Screening Prospective Studies Registries 030212 general & internal medicine education Aged education.field_of_study Ejection fraction Heart Murmurs business.industry Hypertrophic cardiomyopathy Atrial fibrillation General Medicine Middle Aged medicine.disease England Cardiovascular Diseases Echocardiography Heart failure Heart murmur Cardiology Female medicine.symptom business |
| Zdroj: | Postgraduate Medical Journal. 92:450-454 |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/postgradmedj-2014-133001 |
| Popis: | Background The epidemiology of heart disease is changing, with rheumatic heart disease becoming less common but degenerative valve disorders, heart failure and atrial fibrillation (AF) increasing. Objective We sought to determine the prevalence of structural cardiac abnormalities in the apparently symptom-free adult population within our prospective echocardiography (echo) registry. Methods Our echo registry comprised echo studies and associated demographic and clinical data obtained prospectively from 362 consecutive asymptomatic subjects aged 50–74 years and without known heart disease referred between 2011 and 2012 from general practices in the South East of England. Results 221 echo abnormalities were detected in 178 (49%) subjects (46% men; mean (±SD) age 63.9±9.2 years; 98% Caucasian). A major abnormality was detected in seven subjects: four had a large secundum atrial septal defect, one had critical aortic stenosis, one severe mitral regurgitation and one features of hypertrophic cardiomyopathy. Twelve subjects had left ventricular systolic dysfunction with an ejection fraction (EF) Conclusions Unrecognised cardiac abnormalities are very common in middle-aged men and women with no overt symptoms. Echo offers the potential to identify the need for early intervention and treatment to improve cardiovascular outcomes. |
| Databáze: | OpenAIRE |
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