Latent cardiac dysfunction as assessed by echocardiography in bed-bound patients following cerebrovascular accidents.

Latent cardiac dysfunction as assessed by echocardiography in bed-bound patients following cerebrovascular accidents. Research Abstract Details 

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Latent cardiac dysfunction as assessed by echocardiography in bed-bound patients following cerebrovascular accidents. Abstract Text:

Hisashi Masugata,Shoichi Senda,Fuminori Goda,Yumiko Yoshihara,Kay Yoshikawa,Norihiro Fujita,Takashi Himoto,Hiroyuki Okuyama,Teruhisa Taoka,Masanobu Imai,Masakazu Kohno,Hisashi Masugata,Shoichi Senda,Fuminori Goda,Yumiko Yoshihara,Kay Yoshikawa,Norihiro Fujita,Takashi Himoto,Hiroyuki Okuyama,Teruhisa Taoka,Masanobu Imai,Masakazu Kohno,

The aim of this study was to elucidate the cardiac function in bed-bound patients following cerebrovascular accidents. In accord with the criteria for activities of daily living (ADL) of the Japanese Ministry of Health, Labour and Welfare, 51 age-matched poststroke patients without heart disease were classified into 3 groups: rank A (house-bound) (n = 16, age, 85 +/- 6 years), rank B (chair-bound) (n = 16, age, 84 +/- 8 years), and rank C (bed-bound) (n = 19, age, 85 +/- 9 years). Using echocardiography, the left ventricular (LV) diastolic function was assessed by the ratio of early filling (E) and atrial contraction (A) transmitral flow velocities (E/A) of LV inflow. LV systolic function was assessed by LV ejection fraction (LVEF), and the Tei index was also measured to assess both LV systolic and diastolic function. No difference was observed in the E/A and LVEF among the 3 groups. The Tei index was higher in rank C (0.56 +/- 0.17) than in rank A (0.39 +/- 0.06) and rank B (0.48 +/- 0.17), and a statistically significant difference was observed between rank A and rank C (P < 0.05). Serum albumin and blood hemoglobin were significantly lower in rank C (3.1 +/- 0.4 and 10.6 +/- 1.8 g/dL) than in rank A (4.1 +/- 0.3 and 12.4 +/- 1.2 g/dL) (P < 0.001 and P < 0.05, respectively). These results indicate that latent cardiac dysfunction and poor nutritional status may exist in bed-bound patients (rank C) following cerebrovascular accidents. The Tei index may be a useful index of cardiac dysfunction in bed-bound patients because it is independent of the cardiac loading condition.

Latent cardiac dysfunction as assessed by echocardiography in bed-bound patients following cerebrovascular accidents. Publishing Authors By Initials

H Masugata,S Senda,F Goda,Y Yoshihara,K Yoshikawa,N Fujita,T Himoto,H Okuyama,T Taoka,M Imai,M Kohno,H Masugata,S Senda,F Goda,Y Yoshihara,K Yoshikawa,N Fujita,T Himoto,H Okuyama,T Taoka,M Imai,M Kohno,

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Latent cardiac dysfunction as assessed by echocardiography in bed-bound patients following cerebrovascular accidents. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: International heart journal

VOLUME: 48

Page Numbers: 505-12

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ISSN: 1349-2365

DAY: 10

MONTH: Jul

YEAR: 2007

Latent cardiac dysfunction as assessed by echocardiography in bed-bound patients following cerebrovascular accidents. Information

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LANGUAGE: eng

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AFFILIATION: Department of Integrated Medicine, Kagawa University.

Country: Japan

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MEDLINETA: Int Heart J

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