Baseline echocardiographic characteristics of study population dichotomized by incident reduced EF
Variable | Normal EF (n = 643) | Reduced EF (n = 37) | P |
---|---|---|---|
LV diameter (cm) | 5.14 ± 0.48 | 5.42 ± 0.65 | 0.001 |
LV diameter/height (cm/m) | 3.04 ± 0.27 | 3.18 ± 0.29 | 0.004 |
Relative wall thickness | 0.42 ± 0.06 | 0.40 ± 0.06 | 0.100 |
LV mass index (g/m2.7) | 54.1 ± 9.8 | 57.7 ± 11.6 | 0.037 |
LVH (%) | 67 | 87 | 0.017 |
EF (%) | 64.8 ± 5.2 | 62.2 ± 5.0 | - |
Midwall shortening (%) | 16.1 ± 1.8 | 15.9 ± 1.5 | 0.417 |
ESS (kdynes/cm2) | 166.5 ± 34.2 | 171.0 ± 41.5 | 0.285 |
LA diameter (cm) | 3.88 ± 0.49 | 3.93 ± 0.68 | 0.650 |
Mitral E/A ratio | 0.84 ± 0.32 | 0.89 ± 0.40 | 0.508 |
E deceleration time (ms) | 219.0 ± 62.7 | 232.1 ± 72.3 | 0.199 |
Isovolumic relaxation time (ms) | 113.4 ± 22.8 | 114.6 ± 22.1 | 0.761 |
ANCOVA with mean values adjusted for differences in age, gender, systolic BP and heart rate. E/A ratio: the ratio of peak early (E) to late (A) diastolic transmitral blood velocity; E deceleration time: the time interval from the peak of the E wave to its projected baseline indicating the duration for equalizing the pressure difference between the LA and the left ventricle. -: P-values not calculated for components of self-reported cardiovascular diseases at baseline
The authors thank the echo investigators who participated in the LIFE study.
MC, GPA, GdS and RBD contributed to the conception and design of this LIFE echocardiographic sub-study. MC, GPA and KW performed the statistical analyses. MC wrote the first draft of the manuscript. All authors contributed to manuscript revision, read and approved the submitted version.
Sverre E. Kjeldsen has received ad-hoc lecture honoraria within the past 3 years from Getz, Merck Healthcare KGaA, Sanofi-Aventis and Vector-Intas. The other authors declare that they have no conflicts of interest.
The LIFE study including the LIFE echocardiographic sub-study was approved by the relevant ethical committees in all countries with the participating 945 clinical centers. This manuscript complies with the Declaration of Helsinki.
Written informed consent to participate in the study was obtained from all participants.
Not applicable.
The data that support the findings of this study are available from the corresponding author (RBD) upon dire need.
Merck & Co., Inc. supported the LIFE study with an unrestricted grant from 1993. Merck had a non-voting member of the Steering Committee, which designed the study and wrote the protocol. Merck did monitoring, and data accumulated in a Merck database until study end in 2002. Merck provided the study steering committee with free access to blinded data until 2002 and then un-blinded data after the database was cleared for queries and frozen. The steering committee including a committee statistician validated independently the main outcomes. The steering committee has always been free to analyze and interpret the data, make decisions to publish and write the papers. Merck has not had any formal role after 2002 except for sporadically providing expert statistical assistance.
© The Author(s) 2022.