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Restrictive left ventricular filling patterns in very old patients with congestive heart failure: clinical correlates and prognostic significance.

Publication ,  Journal Article
Lipsitz, LA; Byrnes, N; Hossain, M; Douglas, P; Waksmonski, CA
Published in: J Am Geriatr Soc
June 1996

OBJECTIVES: In certain younger patients with congestive heart failure (CHF), Doppler/echocardiography has identified a "restrictive" pattern of early diastolic ventricular filling characterized by very rapid early filling and a steep deceleration slope. We asked whether a similar restrictive pattern can be identified in very old patients with CHF, and if so, what are its clinical correlates and prognostic implications. DESIGN: Retrospective cohort with prospective follow-up. SETTING: Academic long-term care facility. PARTICIPANTS: Thirty-nine residents with clinical CHF (age 89 +/- 5 (SD) years) MEASUREMENTS: Transmitral Doppler flow, clinical characteristics, recurrent CHF episodes, hospitalizations, and mortality were measured. RESULTS: Fifteen (38%) of the subjects had restrictive filling patterns, characterized by a ratio of early to late flow (E/A) > 1.00 and 24 (62%) had nonrestrictive patterns. The restrictive pattern was associated with a longer duration of CHF, more angina, and higher rate of symptomatic recurrences of CHF. CONCLUSION: A restrictive diastolic filling pattern may represent a late stage in the evolution of congestive heart failure when left ventricular filling pressure is markedly increased. The treatment of CHF in older patients may need to account for different patterns of diastolic filling.

Duke Scholars

Published In

J Am Geriatr Soc

DOI

ISSN

0002-8614

Publication Date

June 1996

Volume

44

Issue

6

Start / End Page

634 / 637

Location

United States

Related Subject Headings

  • Ventricular Function, Left
  • Survival Analysis
  • Retrospective Studies
  • Recurrence
  • Prospective Studies
  • Prognosis
  • Male
  • Life Tables
  • Humans
  • Heart Failure
 

Citation

APA
Chicago
ICMJE
MLA
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Lipsitz, L. A., Byrnes, N., Hossain, M., Douglas, P., & Waksmonski, C. A. (1996). Restrictive left ventricular filling patterns in very old patients with congestive heart failure: clinical correlates and prognostic significance. J Am Geriatr Soc, 44(6), 634–637. https://doi.org/10.1111/j.1532-5415.1996.tb01823.x
Lipsitz, L. A., N. Byrnes, M. Hossain, P. Douglas, and C. A. Waksmonski. “Restrictive left ventricular filling patterns in very old patients with congestive heart failure: clinical correlates and prognostic significance.J Am Geriatr Soc 44, no. 6 (June 1996): 634–37. https://doi.org/10.1111/j.1532-5415.1996.tb01823.x.
Lipsitz LA, Byrnes N, Hossain M, Douglas P, Waksmonski CA. Restrictive left ventricular filling patterns in very old patients with congestive heart failure: clinical correlates and prognostic significance. J Am Geriatr Soc. 1996 Jun;44(6):634–7.
Lipsitz, L. A., et al. “Restrictive left ventricular filling patterns in very old patients with congestive heart failure: clinical correlates and prognostic significance.J Am Geriatr Soc, vol. 44, no. 6, June 1996, pp. 634–37. Pubmed, doi:10.1111/j.1532-5415.1996.tb01823.x.
Lipsitz LA, Byrnes N, Hossain M, Douglas P, Waksmonski CA. Restrictive left ventricular filling patterns in very old patients with congestive heart failure: clinical correlates and prognostic significance. J Am Geriatr Soc. 1996 Jun;44(6):634–637.
Journal cover image

Published In

J Am Geriatr Soc

DOI

ISSN

0002-8614

Publication Date

June 1996

Volume

44

Issue

6

Start / End Page

634 / 637

Location

United States

Related Subject Headings

  • Ventricular Function, Left
  • Survival Analysis
  • Retrospective Studies
  • Recurrence
  • Prospective Studies
  • Prognosis
  • Male
  • Life Tables
  • Humans
  • Heart Failure