Arq Bras Cardiol: Imagem cardiovasc. 2021; 34(2): eabc126

Echocardiographic Correlation Between Right Ventricular Diastolic Function and Age and Gender in Subjects With Preserved Systolic Function

DOI: 10.47593/2675-312X/20213402eabc126

Abstract

Introduction:

Right ventricular (RV) systolic and diastolic functions influence the outcomes of cardiovascular diseases. However, right chamber size and function have not been uniformly assessed by age and sex.

Objective:

To evaluate RV diastolic function by age and sex in an outpatient population with preserved left ventricular (LV) and RV systolic function using transthoracic echocardiography.

Method:

This observational cross-sectional study included a total of 97 patients (56 women) aged 61.5 ± 12.5 years. The assessed parameters included RV E/A ratio; peak E-wave and A-wave velocity, E-wave acceleration and deceleration time, and integral E-wave and A-wave velocity-time; and pulmonary artery systolic pressure (PASP), tricuspid reflux velocity, inferior vena cava diameter, and right atrial volume.

Results:

A reduced E-wave was observed with increasing age (Pearson’s correlation coefficient [PCC], −.30; p = 0.003). The same was observed for the E/A ratio (PCC, −0.21; p = 0.035). There was a significant positive association between age and PASP results (PCC, 0.40; p = 0.004) and tricuspid reflux velocity (PCC, 0.36; p = 0.008). There was no significant intersex difference in echocardiography variables.

Conclusion:

The present study showed the impact of age on RV diastolic function indices, which remained within the normal range, in subjects with preserved LV and RV function. The study did not evidence a significant difference between genders in relation to the diastolic function of the right ventricle.