Impact of the 2016 ASE/EACVI recommendations on the prevalence of diastolic dysfunction in the general population.
Aims: Diastolic dysfunction (DD) is frequent in the general population; however, the assessment of diastolic function remains challenging. We aimed to evaluate the impact of the recent 2016 American Society of Echocardiography (ASE)/European Association of Cardiovascular Imaging (EACVI) recommendati...
| Published in: | European Heart Journal - Cardiovascular Imaging Vol. 19; no. 4; pp. 380 - 387 |
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| Main Authors: | , , , , , , , |
| Format: | algorithm research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Apr2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128636607&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128636607 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20472404 BMSM jtl: European Heart Journal - Cardiovascular Imaging issn: 20472404 maglogo: N pubinfo: dt: Apr2018 vid: 19 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 128636607 128636607 128636607 10.1093/ehjci/jex252 128636607 ppf: 380 ppct: 7 formats: tig: atl: Impact of the 2016 ASE/EACVI recommendations on the prevalence of diastolic dysfunction in the general population. aug: au: Almeida, João G. Fontes-Carvalho, Ricardo Sampaio, Francisco Ribeiro, José Bettencourt, Paulo Flachskampf, Frank A. Leite-Moreira, Adelino Azevedo, Ana affil: Department of Cardiology, Centro Hospitalar Gaia/Espinho, R. Conceição Fernandes 1079, Vila Nova de Gaia, Portugal sug: subj: Ventricular Dysfunction, Left Diagnosis Prevalence Echocardiography Organizations Prospective Studies Retrospective Design Heart Diseases Diagnosis Echocardiography Heart Failure Human ab: Aims: Diastolic dysfunction (DD) is frequent in the general population; however, the assessment of diastolic function remains challenging. We aimed to evaluate the impact of the recent 2016 American Society of Echocardiography (ASE)/European Association of Cardiovascular Imaging (EACVI) recommendations in the prevalence and grades of DD compared with the 2009 guidelines and the Canberra Study Criteria (CSC). Methods and results: Within a population-based cohort, a total of 1000 individuals, aged ≥45 years, were evaluated retrospectively. Patients with previously known cardiac disease or ejection fraction <50% were excluded. Diastolic function was assessed by transthoracic echocardiography. DD prevalence and grades were determined according to the three classifications. The mean age was 62.0 ± 10.5 years and 37% were men. The prevalence of DD was 1.4% (n = 14) with the 2016 recommendations, 38.1% (n = 381) with the 2009 recommendations, and 30.4% (n = 304) using the CSC. The concordance between the updated recommendations and the other two was poor (from k = 0.13 to k = 0.18, P < 0.001). Regarding the categorization in DD grades, none of the 14 individuals with DD by the 2016 guidelines were assigned to Grade 1 DD, 64% were classified as Grade 2, 7% had Grade 3, and 29% had indeterminate grade. Conclusion: The application of the new 2016 ASE/EACVI recommendations resulted in a much lower prevalence of DD. The concordance between the classifications was poor. The updated algorithm seems to be able to diagnose only the most advanced cases. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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