Abstract 708: Age and Gender Specific Changes in Tissue Doppler Derived Diastolic Index: A Doppler Echocardiographic Study in Healthy Individuals and Hypertensive Patients
Although left ventricular diastolic function has been shown to deteriorate with advancing age, its gender specific change is unknown. The aim of this study was to investigate age and gender specific changes in tissue Doppler derived left ventrisular diastolic index. A total of 1,333 healthy individual without known heart disease (mean age 55 years, range 10–89) and 138 patients with hypertension (mean 65 years, range 50–89) were enrolled and studied. Using Doppler echocardiography, peak early mitral annular velocity (E′) was recorded and measured from apical 4 chamber view. E′ value was compared between male and female in each age group. (Figure⇓) Among those aged between 10–19, E′ was similar between male and female. E′ progressively decline with advancing age in both gender, but more so in male than in female until age 50. In subjects with age 50–59 years (mean 55 years), E′ become identical in male and female. After 50 years, E′ decline more so in female than in male. Similarly, E′ was significantly lower in elderly women among hypertensive population. Age-related changes in diastolic indices were gender specific. In the elderly population diastolic function deteliorate more significantly in female gender than in male. These results may explaine the relatively higher incidence in elderly female among patients with diastolic heart failure and higher cardiovascular mortality in female gender.