Elevated left ventricular end-diastolic pressure favours closure of foramen ovale

Federico Landeta1, Elmar von dem Bussche, Martin Ritter

  • 1Department of Cardiology and Angiology, University Hospital Muenster, Germany. flandeta@yahoo.com.ar

Acta Cardiologica
|February 12, 2013
PubMed

Insights

Persistent high left atrial pressures, not age, may influence patent foramen ovale (PFO) closure. Elevated left ventricular end-diastolic pressures (LVEDP) were linked to a lower PFO prevalence in patients with suspected cardioembolic stroke.

Area of Science:

  • Cardiology
  • Cardiovascular Research
  • Medical Diagnostics

Background:

  • Patent foramen ovale (PFO) is a common cardiac anomaly.
  • Previous studies suggested PFO prevalence decreases with age.
  • The relationship between left atrial pressure and PFO closure requires further investigation.

Purpose of the Study:

  • To test the hypothesis that elevated left atrial (LA) pressures facilitate PFO closure.
  • To investigate the role of age in PFO prevalence.
  • To identify factors associated with PFO in patients with suspected cardioembolic stroke.

Main Methods:

  • Contrast transesophageal echocardiography was used to assess PFO prevalence in 201 patients.
  • Non-invasive transthoracic echocardiography estimated left ventricular end-diastolic pressures (LVEDP).
  • Diastolic function (DF) and diastolic dysfunction (DD) stages were used to categorize LVEDP as normal or elevated.

Main Results:

  • PFO prevalence was 42.8% overall.
  • Patients with elevated LVEDP (DD stage II/III) had significantly lower PFO prevalence (21.2%) compared to those with normal LVEDP (51.7%).
  • LA size was larger in patients without PFO, and age was not associated with PFO prevalence.

Conclusions:

  • Elevated LVEDP and LA enlargement are negatively associated with PFO.
  • Higher LVEDP correlates with a lower prevalence of PFO.
  • Age does not play a significant role in PFO prevalence.
Abstract

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