Relationship of left ventricular and atrial dimensions with moderate to severe left ventricular diastolic dysfunction (grade II and above)|
Hamza, Muhammad; Fatima, Mishal; Masood, Muhammad; Masood, Hafiz Umar; Tasleem, Ghazal; Ahmed, Hassaan; Nadir, Maha & Satti, Zubair
Introduction: Left ventricular diastolic dysfunction (DD) is an entity in which the ventricle fails to fill up properly due to
impaired ventricular relaxation and/or decreased compliance. The diagnosis of diastolic dysfunction is based on a variety of
parameters in doppler echocardiograpy. However, some parameters like interventricular septal thickness in diastole (IVSd),
posterior wall thickness in diastole (PWd), left ventricular internal end diastolic and systolic diameters (LVIDD and LVISD)
along with left atrial diameters (LAD) have yet to be evaluated for the diagnostic workup of DD.
Methods: A case control study was done in the cardiology department from patient records from 2016 to 2018. Patients
were diagnosed as diastolic dysfunction grade II and above by doppler echocardiography. IVSd, PWd, LVIDD, LAD, LVISD
were obtained through 2-D echocardiography.
Results: Patients with DD had greater LAD, IVSd and PWd and decreased LVIDD and LVISD as compared to control
group. Overall, IVSD was the most significant predictor (OR 1.52 95%CI 1.35-1.71) of DD followed by PWd and LAD.
Similarly, LAD, IVSd and PWd had higher sensitivity and specificity than LVIDD and LVIDS.
Conclusion: IVSd, LAD and PWd showed significant performance in the diagnosis of diastolic dysfunction and hence can
be used as a screening and diagnostic tool in diastolic dysfunction of grade ll and above.
Heart failure; diastolic; echocardiography; left ventricle.