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Table 1 Baseline Characteristics, Catheterization Data, and Echocardiographic Variables

From: Left atrial reservoir strain combined with E/E' as a better single measure to predict elevated LV filling pressures in patients with coronary artery disease

Characteristic/ Variable

Control

(n = 30)

All Patients With CAD

(n = 60)

Patients With CAD

P Value,

Control vs. CAD

P Value,

group I vs. group II

LVEDP≤15 mmHg

(group I, n = 27)

LVEDP>15 mmHg

(group II, n = 33)

Baseline Characteristics

 Age, y

53 ± 7

56 ± 9

58 ± 8

55 ± 10

0.19

0.19

 Male, n (%)

20(66.7)

48(80.0)

21(77.8)

27(81.8)

0.72

0.70

 HR, beats/min

64 ± 9

66 ± 9

67 ± 10

66 ± 8

0.25

0.60

 Systolic BP, mmHg

119 ± 10

128 ± 20

127 ± 24

128 ± 16

0.02

0.79

 Diastolic BP, mmHg

74 ± 5

79 ± 11

77 ± 10

80 ± 12

0.00

0.30

 BMI, kg/m2

25.0 ± 1.5

25.8 ± 2.8

25.7 ± 2.9

25.8 ± 2.8

0.14

0.87

Medical history, n (%)

 Diabetes

–

30(50.0)

13(48.1)

17(51.5)

–

0.41

 Hypertension

–

39(65.0)

18(66.7)

21(63.6)

–

0.81

 Dyslipidemia

–

53(88.3)

24(88.9)

29(87.9)

–

0.74

 Prior MI

–

26(43.3)

12(44.4)

14(42.4)

–

0.66

 Mild MR

–

10(16.7)

4(14.8)

6(18.2)

–

0.96

  ≥ Moderate MR

–

1(1.7)

–

1(3.0)

–

–

CAD: vessel involved, n (%)

 Single vessel

–

16(26.7)

7(25.9)

9(27.3)

–

0.91

 Multiple vessels

–

44(73.3)

20(74.1)

24(72.7)

–

0.91

Culprit vessel, n (%)

 LMCA

–

8(13.3)

3(11.1)

5(15.2)

–

0.94

 LAD

–

54(90.0)

23(85.2)

31(93.9)

–

0.49

 RCA

–

38(63.3)

17(63.0)

21(63.6)

–

0.96

 LCx

–

40(66.7)

19(70.4)

21(63.6)

–

0.58

Coronary dominance, n (%)

 Right

–

51(85.0)

23(85.2)

28(84.8)

–

1.00

 Left

–

5(8.3)

2(7.4)

3(9.1)

–

1.00

 Balanced

–

4(6.7)

2(7.4)

2(6.1)

–

1.00

Medication, n (%)

 β-Blockers

–

52(86.7)

24(88.9)

28(84.8)

–

0.94

 Antiplatelet drugs

–

60(100.0)

27(100.0)

33(100.0)

–

–

 ACEI/ARBs

–

55(91.7)

25(92.6)

30(90.9)

–

1.00

 CCBs

–

32(53.3)

15(55.6)

17(51.5)

–

0.76

 Loop diuretics

–

16(26.7)

6(22.2)

10(30.3)

–

0.48

 Statins

–

56(93.3)

25(92.6)

31(93.9)

–

1.00

 PCI, n (%)

–

38(63.3)

17(63.0)

21(63.6)

–

0.96

 CABG, n (%)

–

10(16.7)

5(18.5)

5(15.2)

–

1.00

Catheterization Data

 LVEDP, mmHg

–

18.9 ± 7.8

11.9 ± 2.4

24.6 ± 5.8

–

0.00

Conventional Echocardiographic Variables

 TR peak velocity

>  2.8 m/s, n (%)

–

5(8.3)

1(3.7)

4(12.1)

–

0.48

 Mitral E, cm/s

75.3 ± 12.1

79.4 ± 15.9

79.6 ± 20.2

79.3 ± 11.7

0.29

0.95

 Mitral A, cm/s

65.3 ± 14.9

71.7 ± 16.8

69.9 ± 15.5

73.2 ± 17.9

0.13

0.46

 Mitral E/A ratio

1.21 ± 0.34

1.16 ± 0.33

1.17 ± 0.33

1.15 ± 0.34

0.57

0.78

 DT, ms

166 ± 20

178 ± 21

178 ± 21

177 ± 21

0.03

0.87

 E′septal, cm/s

9.2 ± 1.8

6.7 ± 1.5

7.2 ± 1.6

6.2 ± 1.3

0.00

0.01

 E′lateral, cm/s

12.3 ± 2.2

9.4 ± 2.7

9.9 ± 2.8

9.0 ± 2.5

0.00

0.18

 E′mean, cm/s

10.8 ± 2.0

8.1 ± 1.9

8.6 ± 2.0

7.6 ± 1.7

0.00

0.052

 E/E′septal

8.4 ± 1.6

12.3 ± 3.0

11.3 ± 2.9

13.1 ± 2.9

0.00

0.02

 E/E′lateral

6.3 ± 1.3

9.0 ± 2.7

8.4 ± 2.6

9.4 ± 2.8

0.00

0.18

 E/E′mean

7.1 ± 1.4

10.3 ± 2.6

9.6 ± 2.4

10.8 ± 2.6

0.00

0.04

 LAEF (%)

71.2 ± 8.7

67.3 ± 6.5

69.1 ± 5.7

65.8 ± 6.8

0.04

0.05

 LAEF-active (%)

50.8 ± 9.5

51.4 ± 8.0

53.6 ± 6.7

49.7 ± 8.6

0.78

0.06

 LAEF-passive (%)

40.7 ± 15.7

32.4 ± 9.0

33.1 ± 9.7

31.8 ± 8.5

0.03

0.56

 LAVI, ml/m2

22.1 ± 8.3

31.7 ± 5.7

30.1 ± 4.7

33.0 ± 6.2

0.00

0.04

 LVMI,g/m2

75.4 ± 22.0

103.5 ± 24.9

102.9 ± 27.4

104.0 ± 23.2

0.00

0.88

 LVEF, %

62.8 ± 3.1

61.4 ± 3.1

61.6 ± 3.2

61.2 ± 2.9

0.09

0.66

2D-STE Variables

 LVGLS (%)

−20.2 ± 1.6

−19.0 ± 1.8

−19.5 ± 1.8

−18.6 ± 1.7

0.01

0.07

 LASr (%)

28.2 ± 4.0

23.0 ± 5.1

25.6 ± 5.4

20.9 ± 3.7

0.00

0.00

 LAScd (%)

−15.2 ± 4.0

−10.5 ± 3.7

−11.5 ± 4.1

−9.6 ± 3.2

0.00

0.06

 LASct (%)

−13.0 ± 2.2

−12.4 ± 3.5

−13.9 ± 3.9

−11.2 ± 2.6

0.45

0.00

 LASr/E/E′septal(%)

3.6 ± 1.3

2.0 ± 0.6

2.4 ± 0.6

1.7 ± 0.5

0.00

0.00

  1. ACEI Angiotensin-converting enzyme inhibitors; ARBs Angiotensin II receptor blockers;
  2. BMI Body mass index; BP Blood pressure; CAD Coronary artery disease; CCBs Calcium channel blockers; CABG Coronary artery bypass graft; DT Deceleration time; E/E′septal Ratio of early-diastolic transmitral flow velocity to tissue Doppler early-diastolic septal mitral annular velocity HR Heart rate; LAD Left anterior descending artery; LAEF Left atrial total emptying fraction; LAEF-active Left atrial active emptying fraction; LAEF-passive Left atrial passive emptying fraction; LAScd Left atrial conduit strain; LASct Left atrial contraction strain; LASr LA reservoir strain; LAVI LA maximal volume index; LCx Left circumflex artery; LMCA Left main coronary artery; LVEDP Left ventricular end-diastolic pressure; LVEF Left ventricular ejection fraction; LVGLS Left ventricular global longitudinal strain; LVMI Left ventricular mass index; MI Myocardial infarct; MR Mitral regurgitation; PCI percutaneous coronary intervention; RCA Right coronary artery; TR Tricuspid regurgitation; 2D-STE two-dimensional speckle-tracking echocardiography