Increased left atrial volume index is an independent predictor of raised serum natriuretic peptide in patients with suspected heart failure but normal left ventricular ejection fraction: Implication for diagnosis of diastolic heart failure
| Autor: | Houman Ashrafian, Tiong K Lim, Paul O. Collinson, Roxy Senior, Girish Dwivedi |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Population Diastole Doppler echocardiography Severity of Illness Index Ventricular Function Left Internal medicine Natriuretic Peptide Brain medicine Humans Heart Atria Prospective Studies Protein Precursors education Aged Heart Failure education.field_of_study Ejection fraction E/A ratio medicine.diagnostic_test business.industry Diastolic heart failure Atrial fibrillation Stroke Volume medicine.disease Prognosis Echocardiography Doppler Peptide Fragments Heart failure Cardiology Female Cardiology and Cardiovascular Medicine business Biomarkers Follow-Up Studies |
| DOI: | 10.1016/j.ejheart.2005.05.008 |
| Popis: | BACKGROUND: Left atrial volume index (LAVI) is increasingly recognised as a relatively load-independent marker of left ventricular (LV) filling pressures. We assessed the capacity of LAVI to predict LV diastolic dysfunction in comparison with N-terminal pro B-type natriuretic peptide (NTproBNP) in patients with suspected heart failure and a normal ejection fraction (EF). METHODS: 137 patients with suspected heart failure (HF), referred from the community for echocardiography, prospectively underwent Doppler echocardiography, LAVI and NTproBNP estimation. Raised LAVI and reduced LV systolic function were defined as >26 ml/m2 and LV EF or = 50% and LAVI >26 ml/m2 was 0.81 (p < 0.0001) and for patients with LAVI > 26 ml/m2 with and without LVEF > or = 50% was 0.82 (p < 0.0001). CONCLUSION: This data confirms that LAVI on resting echocardiography, specifically in patients with suspected HF and normal LV systolic function is a powerful independent predictor of LV diastolic dysfunction as predicted by serum NTproBNP. In a population with a high suspicion of diastolic heart failure, LAVI may significantly contribute to diagnostic precision. |
| Databáze: | OpenAIRE |
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