Table 1.
Variable | Normal invasive LV filling pressure (≤12 mm Hg) | Elevated invasive LV filling pressure (>12 mm Hg) | P |
---|---|---|---|
Number of patients | 50 | 40 | |
Sex | |||
Male | 24 | 17 | .75 |
Female | 26 | 23 | .78 |
Body surface area (m2) | 1.91 ± 0.39 | 1.96 ± 0.23 | .50 |
Medical history | |||
HTN | 37 | 37 | .48 |
Diabetes | 23 | 29 | .19 |
CAD | 17 | 19 | .40 |
COPD | 7 | 5 | .86 |
CKD (stage ≥3) or ESRD | 10 | 21 | .03 |
AS, at least moderate | 0 | 8 | .003 |
AI, at least moderate | 0 | 0 | – |
Medications before catheterization* | |||
Diuretic† | 20 | 27 | .15 |
BB | 33 | 29 | .78 |
ACE inhibitor | 20 | 19 | .65 |
ARB | 7 | 11 | .20 |
Spironolactone | 0 | 3 | .06 |
Hydralazine | 3 | 3 | .79 |
Nitrate‡ | 13 | 3 | .053 |
Digoxin | 0 | 3 | .06 |
Echocardiographic parameters | |||
Reduced LVEF (<50%) | 15 | 19 | .26 |
Normal LVEF (≥50%) | 35 | 21 | .41 |
E/A ratio | 1.02 ± 0.34 | 1.43 ± 0.77 | .005 |
E/e′ ratio | 11.1 ± 5.1 | 17.5 ± 8.1 | .001 |
LAVi (ml/m2) | 33.2 ± 16.6 | 40.4 ± 14.7 | .05 |
Catheterization | |||
Inpatient | 33 | 24 | .78 |
Outpatient | 17 | 16 | .69 |
Urgent | 7 | 0 | .02 |
Coronary stent placed | 30 | 8 | .01 |
SBP at time of echocardiography (mm Hg) | 128 ± 20 | 132 ± 17 | |
SBP at time of catheterization (mm Hg) | 133 ± 27 | 142 ± 25 | |
P values (paired t test) | .38 | .11 | |
HR at time of echocardiography (beats/min) | 72 ± 10 | 72 ± 15 | |
HR at time of catheterization (beats/min) | 76 ± 13 | 80 ± 13 | |
P values (paired t test) | .21 | .08 |
ACE, Angiotensin-converting enzyme; AI, aortic insufficiency; ARB, angiotensin II receptor blocker; AS, aortic stenosis; BB, b-blocker; CAD, coronary artery disease; CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; ESRD, end-stage renal disease; HR, heart rate; HTN, hypertension; SBP, systolic blood pressure.
Data are expressed as numbers or as mean ± SD. See text for details.
Patients received these medications either prior to or during admission at some point before catheterization.
Diuretics include furosemide and hydrochlorothiazide.
Excludes short-acting sublingual nitroglycerin.