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Heart 95:813-818 doi:10.1136/hrt.2008.159020
  • Original article

Evolution and outcome of diastolic dysfunction

Table 2 Clinical correlates of the progression of diastolic class over follow-up
Stable (n = 95) Deteriorated (n = 50) Improved (n = 39)
No (%) No (%) p vs stable No (%) p vs stable p vs com
Age (years) (SD) 62.0 (12.0) 61.6 (12.5) 0.88 62.1 (13.8) 0.96
Male gender 65 (68.4) 32 (64) 0.59 24 (61.5) 0.70 0.39
Endpoints
    Total mortality 17 (17.9) 9 (18) 0.99 7 (17.9) 0.99 0.99
    Heart failure or atrial fibrillation 10 (10.5) 7 (14) 0.48 6 (15.4) 0.43 0.54
Co-morbidity
    Cancer 4 (4.2) 1 (2) 0.49 3 (7.7) 0.41 0.25
    Coronary artery disease 43 (45.3) 22 (44) 0.88 15 (38.5) 0.47 0.48
Risk factors
    Diabetes mellitus 28 (29.5) 16 (32) 0.75 12 (30.8) 0.53 0.96
    Hypertension 81 (32.6) 42 (84) 0.84 27 (69.2) 0.03 0.03
    Hyperlipidaemia 64 (67.4) 37 (74) 0.41 22 (56.4) 0.23 0.12
    Family history 17 (17.9) 12 (24) 0.38 8 (20.5) 0.72 0.94
    Smoking 60 (63.2) 24 (48) 0.08 22 (56.4) 0.47 0.87
    Body mass index 63 (71.6) 27 (61.4) 0.74 27 (69.2) 0.16 0.98
Medications
    ACE/ARB/aldo antagonist 94 (98.9) 50 (100) 0.47 31 (79.5) 0.00 0.00
    β-blocker 59 (62.1) 30 (60) 0.81 19 (48.7) 0.15 0.15
    Calcium channel blocker 54 (56.8) 26 (52) 0.58 20 (51.3) 0.56 0.67
    Diuretic 53 (55.8) 29 58) 0.80 17 (43.6) 0.20 0.15
    Nitrate 32 (33.7) 16 (32) 0.84 13 (33.3) 0.97 0.98
    Statin 59 (62.1) 30 (60) 0.81 16 (41.0) 0.03 0.02
  • ACE, angiotensin converting enzyme inhibitor; aldo, aldosterone; ARB, angiotensin receptor blocker.

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