¿Se pueden predecir cambios en la función diastólica acorde a los factores de riesgo?

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Title: ¿Se pueden predecir cambios en la función diastólica acorde a los factores de riesgo?
Alternate Title: Can changes in diastolic function be predicted according to risk factors?
Authors: Alvarado Giménez, Juan S.1 (AUTHOR) sebaalvarado06@gmail.com, Farez, Beder G.2 (AUTHOR), Vega, Gustavo G.1 (AUTHOR)
Source: Medicina (Buenos Aires). ene/feb2025, Vol. 85 Issue 1, p23-30. 8p.
Subjects: LEFT heart atrium, CONTINGENCY tables, GAUSSIAN distribution, CARDIOVASCULAR diseases risk factors, SEDENTARY lifestyles
Abstract (English): Introduction: Diastolic function has a dynamic be havior according to modifying factors. We describe the variables used in its assessment by echocardiography in different population groups of men and women to determine whether changes can be predicted according to their risk factors. Materials and methods: Observational and descrip tive cross-sectional registry. A systematic collection of anthropometric characteristics, risk factors and specific echocardiographic variables of diastolic function was performed in an outpatient echocardiography labora tory. Quantitative variables were expressed as mean and standard deviation for Gaussian distribution variables. Discrete variables were analyzed using contingency tables, qualitative variables are expressed as percent ages. Means were compared using the Student t test. Results: A total of 107 patients were admitted. Those with sedentary lifestyle had a mean left atrial volume of 29 ml/m2, a deceleration time of 218 ms, a transmittal flow ratio E/A (EA) of 1.5, tissue Doppler ratio Ee´ (Ee) of 6 and e´a´ (ea) of 1.4; those who performed physical activity 3 times a week were characterized by having a left atrial volume of 35 ml/m2, a deceleration time of 210 ms, EA of 1.8, Ee of 5 and ea of 1.8. Patients with obesity had a left atrial volume of 35 ml/m2, decelera tion time of 226 ms, E/A 1.1, Ee of 9 and ea of 1.2. Those with arterial hypertension had a left atrial volume of 33 ml/m2, deceleration time of 224 ms and E/A ratio of 1, Ee of 8 and ea of 1. Discussion: The inclusion of certain risk factors in the history prior to echocardiographic evaluation can predict subgroups with different diastolic function. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La función diastólica tiene un com portamiento dinámico según factores modificantes. Describimos las variables utilizadas en su valoración por ecocardiografía en diferentes grupos poblacionales de hombres y mujeres, para determinar si pueden pre decirse cambios acordes a sus factores de riesgo. Materiales y métodos: Registro transversal obser vacional y descriptivo. En laboratorio ambulatorio de ecocardiografía se efectuó la recolección sistemática de características antropométricas, factores de riesgo y variables ecocardiográficas específicas de función dias tólica. Las variables cuantitativas se expresaron como media, y las de distribución gausiana como desviación estándar. Las variables discretas se analizaron por tablas de contingencia, las cualitativas se expresan como por centaje. Se usó T de Student para comparar las medias. Resultados: Ingresaron 107 pacientes. Aquellos con sedentarismo presentaron volumen medio-auricular-izquierdo 29 ml/m2, tiempo de desaceleración 218 ms, relación flujo transmitral E/A (EA) 1.5, relación Doppler tisular Ee´(Ee) 6, y e´a´ (ea) 1.4; quienes realizaban activi dad física 3 veces/ semana tenían un volumen-auricular-izquierdo de 35 ml/m2, tiempo de desaceleración de 210 ms, EA de 1.8, Ee de 5 y ea de 1.8. Los pacientes con obe sidad presentaron un volumen-auricular-izquierdo de 35 ml/m2, tiempo de desaceleración de 226 ms, E/A 1.1, Ee 9 y ea 1.2. Quienes presentaban hipertensión arterial te nían un volumen-auricular-izquierdo de 33 ml/m2, tiempo de desaceleración 224 ms, relación E/A 1, Ee 8 y ea 1. Discusión: La inclusión de determinados factores de riesgo en la anamnesis previa a la valoración ecocardio gráfica puede predecir subgrupos con función diastólica diferente. [ABSTRACT FROM AUTHOR]
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Abstract:Introduction: Diastolic function has a dynamic be havior according to modifying factors. We describe the variables used in its assessment by echocardiography in different population groups of men and women to determine whether changes can be predicted according to their risk factors. Materials and methods: Observational and descrip tive cross-sectional registry. A systematic collection of anthropometric characteristics, risk factors and specific echocardiographic variables of diastolic function was performed in an outpatient echocardiography labora tory. Quantitative variables were expressed as mean and standard deviation for Gaussian distribution variables. Discrete variables were analyzed using contingency tables, qualitative variables are expressed as percent ages. Means were compared using the Student t test. Results: A total of 107 patients were admitted. Those with sedentary lifestyle had a mean left atrial volume of 29 ml/m2, a deceleration time of 218 ms, a transmittal flow ratio E/A (EA) of 1.5, tissue Doppler ratio Ee´ (Ee) of 6 and e´a´ (ea) of 1.4; those who performed physical activity 3 times a week were characterized by having a left atrial volume of 35 ml/m2, a deceleration time of 210 ms, EA of 1.8, Ee of 5 and ea of 1.8. Patients with obesity had a left atrial volume of 35 ml/m2, decelera tion time of 226 ms, E/A 1.1, Ee of 9 and ea of 1.2. Those with arterial hypertension had a left atrial volume of 33 ml/m2, deceleration time of 224 ms and E/A ratio of 1, Ee of 8 and ea of 1. Discussion: The inclusion of certain risk factors in the history prior to echocardiographic evaluation can predict subgroups with different diastolic function. [ABSTRACT FROM AUTHOR]
ISSN:00257680