INVESTIGATION OF THE LEFT VENTRICULAR ELASTANCE IN PATIENTS WITH STABLE ISCHEMIC HEART DISEASE

Vũ Thu Hà Phạm 1,, Công Thức Lương1
1 103 Military Hospital

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Abstract

Objectives: To investigate the left ventricular end systolic elastance (Ees) and left ventricular end diastolic elastance (Ed) in patients with stable ischemic heart disease. Patients and methods: 129 patients with stable ischemic heart disease (IHD) (study group) and 40 individuals without IHD (control group) were enrolled. All patients with IHD underwent coronary artery stenting. Ees was calculated using echocardiography single beat method. Ed was calculated bythe formula (E/e’)/ SV (1/ml). Results: At baseline, patients with stable IHD had a lower Ees as compared with the individuals without stable IHD (3.87 (IQR: 2.88 – 4.97) vs 4.38 (IQR: 3.70 – 5.29) mmmHg/ml, p < 0.05)) while Ed were not different between two groups. Ees, Ed were associated to age, gender and heart failure. Ees in the heart failure groups ((2.59 (1.83 – 4.09) mmHg/ml) was lower than the non – heart failure groups (4.08 (3.17 – 5.26) mmHg/ml while Ed in the heart failure patients ((0,28  (0,19 – 0,39) 1/ml) was higher than the non – heart failure patients (0,24 (0,17 – 0,31) 1/ml.  Ees was decreased while the functional NYHA class elevated (p < 0.05) but Ed were not. Conclusion: In conclusion, Ees which obtained from echocardiography increased  decreased significantly in patients with stable ischemic heart disease. Ees, Ed was related to age and gender. Ees was associated with the heart failure and the functional NYHA class

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References

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