The impact of aging on left ventricular longitudinal function in healthy subjects: a pulsed tissue Doppler study.

AIMS: To evaluate the influence of age on average values of pulsed tissue Doppler recorded at the septal and lateral mitral annulus in a population of healthy subjects and to propose reference values according to different age decades. METHODS AND RESULTS: Two hundred and forty-six healthy subjects...

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Publicado en:European Journal of Echocardiography Vol. 9; no. 2; pp. 241 - 250
Autores principales: Innelli P, Sanchez R, Marra F, Esposito R, Galderisi M
Formato: research Journal Article
Publicado: Oxford University Press / USA Mar2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2008
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      pub: Oxford University Press / USA
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        atl: The impact of aging on left ventricular longitudinal function in healthy subjects: a pulsed tissue Doppler study.
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          Innelli P
          Sanchez R
          Marra F
          Esposito R
          Galderisi M
        affil: Division of Cardioangiology with CCU, Department of Clinical and Experimental Medicine, Federico II University Hospital, Block 1, Via S. Pansini 5, 80131 Naples, Italy
      sug:
        subj:
          Aging Physiology
          Cardiovascular System Physiology
          Echocardiography, Doppler, Pulsed
          Ventricular Dysfunction, Left Ultrasonography
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Child
          Data Analysis, Statistical
          Female
          Male
          Middle Age
          Reference Values
          Ventricular Dysfunction, Left Physiopathology
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Child: 6-12 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: AIMS: To evaluate the influence of age on average values of pulsed tissue Doppler recorded at the septal and lateral mitral annulus in a population of healthy subjects and to propose reference values according to different age decades. METHODS AND RESULTS: Two hundred and forty-six healthy subjects (M/F = 160/86, mean age 40.9 years) underwent Doppler-echocardiography and pulsed tissue Doppler of the septal and lateral mitral annulus. S(m), E(m), A(m) peak velocities were measured at both the annular sides and average values obtained. The ratio of transmitral E peak velocity and average E(m) peak velocity (lateral E(m) + septal E(m)/2) was calculated as an index of left ventricular filling pressure. The population was divided into seven age decades: 10-19, 20-29, 30-39, 40-49, 50-59, 60-69 years and >70 years. E(m) was progressively reduced and A(m) increased with increasing age at both the annular sides as well as average values. S(m) reduction with advancing age was significant only at the lateral mitral annulus and as average values. Average E/E(m) ratio was particularly higher in the last three age decades. By multilinear regression analyses, age was the main independent predictor of average E(m), A(m) and E/E(m) ratio, while heart rate was the most important contributor to average S(m), with the additional contribution of age. CONCLUSIONS: Aging shows an independent impact on average tissue Doppler indexes of septal and lateral mitral annulus in normal subjects. Our data also provide reference values of tissue Doppler average variables for age decades.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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