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Göteborgs universitets publikationer

Clinical characteristics of asymptomatic left ventricular diastolic dysfunction and its association with self-rated health and N-terminal B-type natriuretic peptide: a cross-sectional study

Författare och institution:
Nasser Ahmadi (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); L. Bennet (-); Charlotte A. Larsson (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); Susanne Andersson (-); Jörgen Månsson (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); Ulf Lindblad (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa)
Publicerad i:
Esc Heart Failure, 3 ( 3 ) s. 205-211
ISSN:
2055-5822
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk:
Fulltextlänk (lokalt arkiv):
Sammanfattning (abstract):
Aims Left ventricular hypertrophy, obesity, hypertension, and N-terminal B-type natriuretic peptide (Nt-proBNP) predict left ventricular diastolic dysfunction with preserved systolic function (DD-PSF). Self-rated health (SRH) is shown to be associated with chronic diseases, but the association of SRH with DD-PSF is unclear. In light of the clinical implications of DD-PSF, the following goals are of considerable importance: (1) to determine the role of SRH in patients with DD-PSF in the general population and (2) to study the association between Nt-proBNP and DD-PSF. Methods and results The current study is a cross-sectional study conducted on a random sampling of a rural population. Individuals 30-75 years of age were consecutively subjected to conventional echocardiography and tissue velocity imaging. Data were collected on 500 (48%) men and 538 (52%) women (n = 1038). DD-PSF was the main outcome, and SRH and Nt-proBNP were the primary indicators. Diabetes mellitus, hypertension, and obesity were accounted for as major confounders of the association with SRH. DD-PSF was identified in 137 individuals, namely, 79 men (15.8%) and 58 women (10.8%). In a multivariate regression model, SRH (OR 2.95; 95% CI 1.02-8.57) and Nt-proBNP (quartile 4 vs. quartile 1 OR 4.23; 95% CI 1.74-10.26) were both independently associated with DD-PSF. Conclusions SRH, evaluated based on a descriptive question on general health, should be included in the diagnostic process of DD-PSF. In agreement with previous studies, our study confirms that Nt-proBNP is a major indicator of DD-PSF.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Klinisk medicin ->
Endokrinologi och diabetes ->
Diabetologi
MEDICIN OCH HÄLSOVETENSKAP ->
Klinisk medicin ->
Kardiologi
Nyckelord:
DD-PSF, Nt-proBNP, SRH, Cross-sectional, Diabetes mellitus, Population-based, CHRONIC HEART-FAILURE, PPARGC1A GLY482SER POLYMORPHISM, ELDERLY-MEN, FOLLOW-UP, DIAGNOSIS, GUIDELINES, MORTALITY, ADULTS, PREVALENCE, OBESITY
Postens nummer:
242044
Posten skapad:
2016-09-20 13:38
Posten ändrad:
2016-09-20 13:40

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