Left ventricular diastolic dysfunction is associated with cerebral white matter lesions (leukoaraiosis) in elderly patients without ischemic heart disease and stroke

Cerebral white matter lesions (WML) are known to increase with age, as is left ventricular (LV) diastolic dysfunction with normal contraction. Although aging is a common risk factor, the link between these diseases is not fully understood. The aim was to clarify this relationship, using the ratio between early diastolic mitral inflow and early diastolic mitral annular tissue velocity (E/E'). E/E' measured by tissue Doppler echocardiography offers an indicator of the severity of LV diastolic dysfunction, reflecting both diastolic LV stiffness and diastolic LV filling pressure.

[1]  Warren J Manning,et al.  Relation of left ventricular ejection fraction to cognitive aging (from the Framingham Heart Study). , 2011, The American journal of cardiology.

[2]  S. Lord,et al.  Impact of White Matter Lesions on Physical Functioning and Fall Risk in Older People: A Systematic Review , 2011, Stroke.

[3]  W. Paulus,et al.  Heart failure with preserved ejection fraction: pathophysiology, diagnosis, and treatment. , 2011, European heart journal.

[4]  H. Markus,et al.  The clinical importance of white matter hyperintensities on brain magnetic resonance imaging: systematic review and meta-analysis , 2010, BMJ : British Medical Journal.

[5]  Wiro J. Niessen,et al.  Brain tissue volumes in relation to cognitive function and risk of dementia , 2010, Neurobiology of Aging.

[6]  R. Marioni,et al.  Association Between Raised Inflammatory Markers and Cognitive Decline in Elderly People With Type 2 Diabetes , 2009, Diabetes.

[7]  Henri A. Vrooman,et al.  Progression of Cerebral Small Vessel Disease in Relation to Risk Factors and Cognitive Consequences: Rotterdam Scan Study , 2008, Stroke.

[8]  Frederik Barkhof,et al.  Progression of White Matter Hyperintensities and Incidence of New Lacunes Over a 3-Year Period: The Leukoaraiosis and Disability Study , 2008, Stroke.

[9]  P. Scheltens,et al.  Brain magnetic resonance imaging abnormalities in patients with heart failure , 2007, European journal of heart failure.

[10]  K. Dickstein,et al.  How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. , 2007, European heart journal.

[11]  Wolfgang Hoffmann,et al.  Utility of Doppler Echocardiography and Tissue Doppler Imaging in the Estimation of Diastolic Function in Heart Failure With Normal Ejection Fraction: A Comparative Doppler-Conductance Catheterization Study , 2007, Circulation.

[12]  D. Kass,et al.  Cardiovascular features of heart failure with preserved ejection fraction versus nonfailing hypertensive left ventricular hypertrophy in the urban Baltimore community: the role of atrial remodeling/dysfunction. , 2007, Journal of the American College of Cardiology.

[13]  Katja Petrovic,et al.  White matter hyperintensities rather than lacunar infarcts are associated with depressive symptoms in older people: the LADIS study. , 2006, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[14]  Y. Ohashi,et al.  Cognitive dysfunction associates with white matter hyperintensities and subcortical atrophy on magnetic resonance imaging of the elderly diabetes mellitus Japanese elderly diabetes intervention trial (J‐EDIT) , 2006, Diabetes/metabolism research and reviews.

[15]  V. Roger,et al.  Trends in prevalence and outcome of heart failure with preserved ejection fraction. , 2006, The New England journal of medicine.

[16]  Johan H. C. Reiber,et al.  Fully automatic segmentation of white matter hyperintensities in MR images of the elderly , 2005, NeuroImage.

[17]  J. C. Meneghetti,et al.  Localized Cerebral Blood Flow Reductions in Patients With Heart Failure: A Study Using 99mTc‐HMPAO SPECT , 2005, Journal of neuroimaging : official journal of the American Society of Neuroimaging.

[18]  G. Busatto,et al.  Late-life depression, heart failure and frontal white matter hyperintensity: a structural magnetic resonance imaging study. , 2005, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.

[19]  Norman J Beauchamp,et al.  Incidence, Manifestations, and Predictors of Worsening White Matter on Serial Cranial Magnetic Resonance Imaging in the Elderly: The Cardiovascular Health Study , 2005, Stroke.

[20]  N. Nikitin,et al.  Application of Tissue Doppler Imaging in Cardiology , 2004, Cardiology.

[21]  R. Klein,et al.  Cerebral white matter lesions, retinopathy, and incident clinical stroke. , 2002, JAMA.

[22]  Jeff Victoroff,et al.  White Matter Lesions, Quantitative Magnetic Resonance Imaging, and Dementia , 2002, Alzheimer disease and associated disorders.

[23]  D. W. Desmond Cognition and White Matter Lesions , 2002, Cerebrovascular Diseases.

[24]  S. Ommen,et al.  Clinical Utility of Doppler Echocardiography and Tissue Doppler Imaging in the Estimation of Left Ventricular Filling Pressures: A Comparative Simultaneous Doppler-Catheterization Study , 2000, Circulation.

[25]  B. Tress,et al.  Severe deep white matter lesions and outcome in elderly patients with major depressive disorder: follow up study , 1998, BMJ.

[26]  B L Miller,et al.  Neuropsychological correlates of white-matter lesions in healthy elderly subjects. A threshold effect. , 1992, Archives of neurology.

[27]  F. Fazekas,et al.  Brain magnetic resonance imaging and neuropsychologic evaluation of patients with idiopathic dilated cardiomyopathy. , 1991, Stroke.

[28]  T. Sakurai,et al.  Regional white matter lesions predict falls in patients with amnestic mild cognitive impairment and Alzheimer's disease. , 2014, Journal of the American Medical Directors Association.

[29]  A. Jefferson Cardiac output as a potential risk factor for abnormal brain aging. , 2010, Journal of Alzheimer's disease : JAD.