Age-related vascular stiffness and left ventricular size after myocardial infarction.

Am J Geriatr Cardiol

Laboratory of Cardiac Energetics, National Heart, Lung, and Blood Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA.

Published: October 2007

AI Article Synopsis

  • - Aortic stiffness, which increases with age, may lead to adverse changes in the heart's left ventricle (LV) size after a heart attack (myocardial infarction).
  • - Older patients (60+) showed poorer heart function with lower ejection fractions and larger end-systolic volumes compared to younger patients, despite similar heart attack sizes.
  • - The study suggests that higher aortic stiffness in older patients is linked to larger LV size and worse heart function post-heart attack, indicating that age-related changes in arterial elasticity affect heart remodeling.

Article Abstract

Aortic stiffness increases with age and may contribute to adverse remodeling after myocardial infarction (MI). The authors examined whether vascular stiffness affects left ventricular (LV) size after MI using contrast-enhanced cardiac magnetic resonance imaging. Despite similar infarct sizes, patients aged 60 years or older (n=30) had a lower ejection fraction (42+/-15 vs 53+/-11%, P<.01) and greater end-systolic volume index (75+/-47 vs 44+/-18 mL/m(2), P<.01) than younger patients (n=19). As infarct size increased, LV end-systolic volumes (P<.0001) and ejection fraction (P<.0001) in the older participants were progressively greater. Participants with greater aortic stiffness had greater end-systolic volume indices (P<.0001) and lower ejection fraction (P<.0001) with increasing infarct size. Using multivariate analysis, MI size (P<.001) and aortic distensibility (P=.02) were significant predictors of end-systolic volume index. Older patients have increased LV size after MI compared with younger patients, possibly related to age-related decreases in aortic distensibility affecting LV remodeling.

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http://dx.doi.org/10.1111/j.1076-7460.2007.05849.xDOI Listing

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