1. Who is young at heart and when? Diastolic Doppler data from the mind your heart study
- Author
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Seema Pursnani, Richard E. Shaw, Seba Lahsaeizadeh, Nelson B. Schiller, Bryan Ristow, Qizhi Fang, Andrew Rosenblatt, Ahmed Abuzaid, and Beth E. Cohen
- Subjects
Male ,medicine.medical_specialty ,Heart disease ,Hospitals, Veterans ,Population ,Diastole ,030204 cardiovascular system & hematology ,Logistic regression ,030218 nuclear medicine & medical imaging ,Odds ,03 medical and health sciences ,0302 clinical medicine ,Reference Values ,Internal medicine ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Prospective Studies ,education ,Aged ,education.field_of_study ,business.industry ,Age Factors ,Odds ratio ,Middle Aged ,medicine.disease ,Echocardiography, Doppler ,United States ,Dominance (ethology) ,Heart Function Tests ,Cohort ,Cardiology ,San Francisco ,Cardiology and Cardiovascular Medicine ,business - Abstract
To further define the age-related distribution of diastolic function as defined by E/A ratio, in healthy male adults. The age-sensitive ratio of mitral inflow E-wave to A-wave (E/A) velocity is often considered in the evaluation of diastolic function. To appropriately direct a comprehensive evaluation of diastolic function, we sought to improve the characterization of the influence of age on E/A ratio. We analyzed echocardiographic data from the Mind Your heart Study, a cohort of outpatients recruited from two San Francisco Veterans centers to examine the effect of mental health on cardiovascular outcomes. Individuals with a history of heart disease or hypertension were excluded, leaving 313 veterans for analysis. We examined E/A by 5-year increments and performed linear and logistic regression analysis to predict trends in E/A and E dominance. Within the age ranges of population (54.9 ± 11.5), there is a steady gradual decline in absolute E/A ratio (beta coefficient/year- 0.018, P < .001) and the odds of E dominance similarly declines with age (odds ratio/year = 0.89, P < .001). Despite this decline, 90% of individuals below the age of 50 years maintain E dominance. Beyond age 50, 55% maintain E dominance, and beyond age 70, only 28% have E dominance. In this adequately healthy population, age-related progression of delayed relaxation appears to be a state of normality rather than diastolic dysfunction. Careful attention to specific cutoff points in age and E/A ratio could avoid misinterpretation or inappropriate management.
- Published
- 2019
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