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Assessment and impact of diastolic function by echocardiography in elderly patients

Clementina Dugo1, Marzia Rigolli1, Andrea Rossi2

  • 1Awhina Health Campus, Waitemata District Health Board, Auckland, New Zealand; Section of Cardiology, Department of Medicine, University of Verona, Italy.

Journal of Geriatric Cardiology : JGC
|April 23, 2016
PubMed

Insights

Doppler echocardiography accurately assesses diastolic dysfunction, a common cause of heart failure in older adults. This method helps differentiate aging changes from disease, aiding diagnosis and prognosis.

Area of Science:

  • Cardiology
  • Geriatrics
  • Medical Imaging

Background:

  • Diastolic dysfunction is a significant cause of heart failure, particularly in the elderly population.
  • Distinguishing pathophysiological changes from normal aging is a clinical challenge.

Purpose of the Study:

  • To review the mechanisms and assessment approaches for diastolic dysfunction in the elderly.
  • To highlight the role of Doppler echocardiography in evaluating diastolic dysfunction in older patients.

Main Methods:

  • Utilizing Doppler echocardiography techniques to identify grades of diastolic dysfunction.
  • Estimating left ventricular filling pressures and determining the chronicity of diastolic dysfunction.
  • Validating Doppler-derived measures against invasive hemodynamic assessments.

Main Results:

  • Doppler echocardiography is the gold standard for assessing diastolic dysfunction.
  • Physiologically-derived measures from Doppler echocardiography are prognostically valuable.
  • Combined Doppler parameters, adjusted for age, aid in assessing dyspnea and prognosis in older patients.

Conclusions:

  • Doppler echocardiography is essential for diagnosing and managing diastolic dysfunction in the elderly.
  • This imaging modality assists in differentiating disease-related changes from normal aging.
  • Age-adjusted Doppler echocardiography provides valuable prognostic insights for older adults with heart failure symptoms.

Keywords:
Diastolic dysfunctionDopplerEchocardiography

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