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Increased Left Ventricular Diastolic Stiffness Is Associated With Heart Failure Symptoms in Aortic Stenosis Patients With Preserved Ejection Fraction.


ABSTRACT: Clinical risk factors associated with heart failure (HF) symptoms in aortic stenosis (AS) patients with preserved ejection fraction (EF) have not been fully identified. We hypothesized that left ventricular (LV) diastolic stiffness is associated with HF symptoms in patients with AS.We retrospectively evaluated 275 patients with at least moderate AS (aortic valve area <1.5?cm2) and preserved EF (?50%). LV diastolic stiffness was evaluated with the use of echocardiographic parameters, diastolic wall strain (DWS, a measure of LV wall stiffness), and KLV (a marker of LV chamber stiffness). There were 69 patients with HF. Patients with HF were older, were more likely to be African American, had a higher body mass index, and had more hypertension and coronary artery disease (P?

SUBMITTER: Kamimura D 

PROVIDER: S-EPMC6100744 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Increased Left Ventricular Diastolic Stiffness Is Associated With Heart Failure Symptoms in Aortic Stenosis Patients With Preserved Ejection Fraction.

Kamimura Daisuke D   Suzuki Takeki T   Fox Ervin R ER   Skelton Thomas N TN   Winniford Michael D MD   Hall Michael E ME  

Journal of cardiac failure 20170508 8


<h4>Background</h4>Clinical risk factors associated with heart failure (HF) symptoms in aortic stenosis (AS) patients with preserved ejection fraction (EF) have not been fully identified. We hypothesized that left ventricular (LV) diastolic stiffness is associated with HF symptoms in patients with AS.<h4>Methods and results</h4>We retrospectively evaluated 275 patients with at least moderate AS (aortic valve area <1.5 cm<sup>2</sup>) and preserved EF (≥50%). LV diastolic stiffness was evaluated  ...[more]

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