Skip to main content
Journal cover image

Diastolic dysfunction in patients undergoing cardiac surgery: the role of gender and age-gender interaction.

Publication ,  Journal Article
Ferreira, RG; Nicoara, A; Phillips-Bute, BG; Daneshmand, M; Muehlschlegel, JD; Swaminathan, M
Published in: J Cardiothorac Vasc Anesth
June 2014

OBJECTIVES: To test the hypothesis that females presenting for coronary artery bypass graft (CABG) surgery are at a higher risk of left ventricular diastolic dysfunction (LVDD) and that age and gender interact to influence this risk. DESIGN: Retrospective observational study. SETTING: Tertiary university hospital. PARTICIPANTS: Eight hundred-ninety-five adult patients undergoing CABG surgery. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Baseline diastolic function was graded according to a predefined Doppler-based algorithm, which defined LVDD as a binary variable (grades 2 and 3 only) and as a continuous variable (E/e' ratio). The authors found that women were more likely to present with LVDD in 2 multivariate regression models using both LVDD definitions (odds ratio = 2.7; p<0.0001 for logistic model, and parameter estimate (PE) = 2.8; p<0.0001 for the linear model). In addition, there was a significant age and gender interaction on the risk of LVDD in the linear model (PE = 0.08; p = 0.01). A restricted cubic splines analysis revealed a progressively higher risk of LVDD (predicted E/e' ratio) among older women. CONCLUSIONS: The authors confirmed that women undergoing CABG surgery are at higher risk of LVDD compared to men with a significant age-gender interaction suggesting a possible age-related differential effect on LVDD between the genders, a phenomenon previously demonstrated in preclinical studies. Therapies aimed at amelioration of diastolic dysfunction additionally should consider the higher risk in females, especially within the older subset of the patient population.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Cardiothorac Vasc Anesth

DOI

EISSN

1532-8422

Publication Date

June 2014

Volume

28

Issue

3

Start / End Page

626 / 630

Location

United States

Related Subject Headings

  • Vascular Stiffness
  • Sex Characteristics
  • Risk Assessment
  • Retrospective Studies
  • Middle Aged
  • Male
  • Humans
  • Heart Failure, Diastolic
  • Female
  • Coronary Artery Bypass
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ferreira, R. G., Nicoara, A., Phillips-Bute, B. G., Daneshmand, M., Muehlschlegel, J. D., & Swaminathan, M. (2014). Diastolic dysfunction in patients undergoing cardiac surgery: the role of gender and age-gender interaction. J Cardiothorac Vasc Anesth, 28(3), 626–630. https://doi.org/10.1053/j.jvca.2013.11.010
Ferreira, Renata G., Alina Nicoara, Barbara G. Phillips-Bute, Mani Daneshmand, Jochen D. Muehlschlegel, and Madhav Swaminathan. “Diastolic dysfunction in patients undergoing cardiac surgery: the role of gender and age-gender interaction.J Cardiothorac Vasc Anesth 28, no. 3 (June 2014): 626–30. https://doi.org/10.1053/j.jvca.2013.11.010.
Ferreira RG, Nicoara A, Phillips-Bute BG, Daneshmand M, Muehlschlegel JD, Swaminathan M. Diastolic dysfunction in patients undergoing cardiac surgery: the role of gender and age-gender interaction. J Cardiothorac Vasc Anesth. 2014 Jun;28(3):626–30.
Ferreira, Renata G., et al. “Diastolic dysfunction in patients undergoing cardiac surgery: the role of gender and age-gender interaction.J Cardiothorac Vasc Anesth, vol. 28, no. 3, June 2014, pp. 626–30. Pubmed, doi:10.1053/j.jvca.2013.11.010.
Ferreira RG, Nicoara A, Phillips-Bute BG, Daneshmand M, Muehlschlegel JD, Swaminathan M. Diastolic dysfunction in patients undergoing cardiac surgery: the role of gender and age-gender interaction. J Cardiothorac Vasc Anesth. 2014 Jun;28(3):626–630.
Journal cover image

Published In

J Cardiothorac Vasc Anesth

DOI

EISSN

1532-8422

Publication Date

June 2014

Volume

28

Issue

3

Start / End Page

626 / 630

Location

United States

Related Subject Headings

  • Vascular Stiffness
  • Sex Characteristics
  • Risk Assessment
  • Retrospective Studies
  • Middle Aged
  • Male
  • Humans
  • Heart Failure, Diastolic
  • Female
  • Coronary Artery Bypass