Improved diastolic function is associated with higher cardiac output in patients with heart failure irrespective of left ventricular ejection fraction

Tomoyuki Tobushi, Masatsugu Nakano, Kazuya Hosokawa, Hidenobu Koga, Akira Yamada

研究成果: Contribution to journalArticle査読

4 被引用数 (Scopus)

抄録

Background-Little is known regarding the impact of diastolic function on cardiac output (CO) in patients with heart failure, particularly in patients with lower ejection fraction. This study aimed to evaluate the impact of end-diastolic pressure-volume relationship (EDPVR) on CO and end-diastolic pressure (EDP). Methods and Results-We retrospectively analyzed 1840 consecutive patients who underwent heart catheterization. We divided patients into 8 groups according to ejection fraction (EF) (35-45%, 46-55%, 56-65%, and 66-75%) and EDP (> 16 or =16 mm Hg). We estimated EDPVR from single measurements in the catheterization data set. Then, we replaced EDPVRs of high-EDP groups with those of normal-EDP groups and compared CO before and after EDPVR replacement. Normalized EDPVR significantly increased CO at EDP=10 mm Hg regardless of EF (EF 35-45%, from 4.5±1.6 to 4.9±1.0; EF 46-55%, 4.6±1.3 to 5.1±1.1; EF 56- 65%, 4.9±1.5 to 5.2±1.0; EF 66-75%, 4.9±1.5 to 5.2±1.1). Changes in CO were similar across EF groups. Conclusions-Diastolic function normalization was associated with higher CO irrespective of EF. Diastolic dysfunction plays an important role in determining CO irrespective of EF in heart failure patients.

本文言語英語
論文番号e003389
ジャーナルJournal of the American Heart Association
6
3
DOI
出版ステータス出版済み - 2017

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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