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Published on: February 20, 2017
[Is the left ventricle enddiastolic pressure pathological in the older population?]
1Interní kardiologická klinika Lékarské fakulty MU a FN Brno. mvytiska@fnbrno.cz
Insights
Age significantly impacts left ventricular end-diastolic pressure (LVEDP). Older individuals exhibit higher LVEDP, suggesting age-related diastolic dysfunction rather than pathology.
Area of Science:
- Cardiology
- Gerontology
- Physiology
Context:
- The global population is aging, leading to increased cardiovascular system changes.
- Understanding age-related cardiovascular alterations is crucial for geriatric care.
Purpose:
- To investigate the correlation between age and left ventricular end-diastolic pressure (LVEDP).
- To determine if elevated LVEDP in older adults is pathological or age-related.
Summary:
- A study of 106 patients (23-79 years) found significantly higher LVEDP in those 50 and older (12.1 mmHg) compared to younger individuals (8.9 mmHg).
- Increased LVEDP was observed in 46.2% of older adults versus 11.5% of younger adults, indicating an age dependency.
Impact:
- Age is a significant factor influencing LVEDP.
- LVEDP values above 12 mmHg in older adults may represent normal aging and diastolic dysfunction, not necessarily pathology.
- Findings can inform clinical interpretation of LVEDP in elderly patients.
Introduction:
The percentage of older population has significantly increased in the recent decades. Morphologic and functional changes of the cardiovascular system go together with ageing. The aim of the study should show the correlation between the age and left ventricular enddiastolic pressure (LVDEP) value.
Methods:
106 patients of the age from 23 to 79 years without an organic heart disease and the history of hypertension underwent elective coronary angiography including left ventricle angiography between 1999 and 2002. LVEDP was obtained as an average value from 8 consecutive beats without extrasystoles. According to the relation between increased relative frequency of LVEDP and age patients were divided into two groups: 50 years and older (80 patients) and younger than 50 years (26 patients).
Results:
An average LVEDP value in older population versus younger population was 12.1 +/- 5.0 mm Hg vs 8.9 +/- 3.4 mm Hg, p < 0.05. Increased LVEDP in yonger population was found in only 11.5 % vs 46.2 % in older group, p < 0.01 and the LVEDP was age dependent, p < 0.05.
Conclusions:
In compliance with about mentioned results we suppose that the age is a factor with impact to LVEDP value. LVEDP values > 12 mm Hg in older population may not be pathological and probably are due to the left ventricle diastolic dysfunction in consequence with ageing.
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