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01-05-2010 | Original article | Uitgave 5/2010

Netherlands Heart Journal 5/2010

Age is an independent risk factor for left atrial dysfunction: results from an observational study

Tijdschrift:
Netherlands Heart Journal > Uitgave 5/2010
Auteurs:
M. A. M. Ploumen, L. H. B. Baur, M. J. Streppel, C. L. B. der Lodewijks-van Bolt, B. Winkens, H. E. J. H. Stoffers
Belangrijke opmerkingen
Department of Cardiology, Atrium Medical Centre Parkstad, Heerlen and University of Maastricht, Maastricht, the Netherlands
Department of Cardiology, Atrium Medical Centre Parkstad, Heerlen, the Netherlands
Care and Public Health Research Institute (CAPHRI), University of Maastricht, Maastricht, the Netherlands

Abstract

Introduction. The degenerative changes of myocardial tissue are thought to influence left atrial (LA) function. Changes of left atrial function are generally due to changes in left ventricle (LV) compliance. But valvular dysfunction and hypertension as comorbidity cannot be ignored. Women have a different clinical profile compared with men concerning the risk of heart failure. We investigated the influence of increasing age and gender corrected for comorbidity, on left atrial function.
Methods. Using an open access echocardiography database, supplemented with additional LA function measurements, we defined three different LA function parameters. Odds ratios (OR) were calculated to reproduce the relation between age, gender and LA function. The association between age, gender and LA function was estimated, and corrected for comorbid conditions as valve disease, high blood pressure and LV dysfunction, using logistic regression.
Results. Higher age was positively correlated with increased LA volume, decreased ejection fraction and increased LA kinetic energy. Age per decade increase, corrected for comorbidity, resulted in an increased risk of LA dysfunction (OR between 1.5 and 1.9). Gender had little influence on LA function parameters except for LA maximal volume. Men had a significantly larger LA maximal volume compared with women.
Conclusions. In this open access echocardiography database, increasing age was correlated with LA dysfunction. Age per decade increase, corrected for comorbid conditions such as mitral and aortic valve disease, hypertension and heart failure, is an independent risk factor for LA dysfunction. The gender influence on LA dysfunction seems to be limited. (Neth Heart J 2010;18:243-7.)

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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