The impact of age on cardiac electromechanical function in asymptomatic individuals.

Background and Aim: Whether aging affects left ventricular (LV) filling and ejection and the LV electric function is not well established. We investigated the effect of normal aging on echocardiographic measurements of LV morphology and function, LV electric function and the relationship between LV...

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Publicado en:Echocardiography Vol. 35; no. 11; pp. 1788 - 1795
Autores principales: Vancheri, Federico, Henein, Michael
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Nov2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2018
      vid: 35
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/echo.14145
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        atl: The impact of age on cardiac electromechanical function in asymptomatic individuals.
      aug:
        au:
          Vancheri, Federico
          Henein, Michael
        affil: Internal Medicine, Ospedale S. Elia, Caltanissetta Italy
      sug:
        subj:
          Cardiovascular System Physiology
          Aging
          Echocardiography Methods
          Heart Ventricle, Left Physiology
          Ventricular Ejection Fraction
          Human
          Cross Sectional Studies
          Surveys
          Prevalence
          Italy
          Coronary Disease Risk Factors
          Coronary Arteriosclerosis Symptoms
          Heart Failure Symptoms
          Electrocardiography Methods
          QRS Complex
          Automation
          Systolic Pressure
          Diastolic Pressure
          Ultrasonography, Doppler Methods
          Heart Atrium, Left Physiology
          Biological Markers
      ab: Background and Aim: Whether aging affects left ventricular (LV) filling and ejection and the LV electric function is not well established. We investigated the effect of normal aging on echocardiographic measurements of LV morphology and function, LV electric function and the relationship between LV electric and mechanical function in asymptomatic individuals. Methods: As part of a cross‐sectional survey for the prevalence of coronary risk factors in the general population in Caltanissetta, Italy, individuals without signs or symptoms of coronary artery disease or heart failure were randomly selected and underwent electrocardiographic and echocardiographic examination. QRS duration and amplitude, PR, QT and QTc intervals, were automatically measured. Echocardiographic examination included the measurement of LV systolic and diastolic dimensions, volumes and ejection fraction (EF). From the spectral Doppler flow LV early diastolic (E wave) and atrial systolic (A wave) velocities, isovolumic relaxation time (IVRT) and isovolumic contraction time (IVCT) were measured. Global LV dyssynchrony was assessed using the total isovolumic time (T‐IVT) and the Tei index. Results: Aging reduced LV long‐axis function, LV filling time and E wave velocity and prolonged T‐IVT, IVRT and Tei index. It did not affect LV dimensions, ejection fraction, IVCT or QRS amplitude and duration. QRS duration correlated with LV dimensions, wall thickness and left atrial area. QRS amplitude and QTc interval correlated with the markers of LV dyssynchrony T‐IVT and Tei index. Conclusions: Overall, systolic and electric LV function are not affected by age, whereas subendocardial function, diastolic and synchronous function are significantly influenced.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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