PMID- 21345648 OWN - NLM STAT- MEDLINE DCOM- 20110901 LR - 20220330 IS - 1097-6795 (Electronic) IS - 0894-7317 (Linking) VI - 24 IP - 5 DP - 2011 May TI - Echocardiographic indices of diastolic function relate to functional capacity and quality of life in ambulatory men with atrial fibrillation. PG - 533-540.e3 LID - 10.1016/j.echo.2011.01.008 [doi] AB - OBJECTIVE: We sought to explore the reliability of echocardiographic parameters of diastolic function and determine their relationship with functional capacity (New York Heart Association [NYHA] class and 6-minute walk test [6MWT]) and the domains of a health-related quality of life (HR-QOL) questionnaire (Veterans RAND 36-Item Health Survey) in a cohort of ambulatory patients with atrial fibrillation (AF). METHODS: Forty-eight male veterans with persistent or permanent AF underwent clinical examination, echocardiography, and 6MWT, and filled out a Veterans RAND 36-Item Health Survey questionnaire at two visits 1 week apart. Pairwise correlation was performed to evaluate the reliability of echocardiographic parameters and multiple regression analyses to assess the association of these parameters with functional capacity and HR-QOL. RESULTS: E/e' average had the highest correlation between the two visits (coefficient: 0.87) and had a significant relationship with NYHA, 6MWT, and physical functioning domain of HR-QOL even after adjusting for confounding variables (odds of NYHA >1: OR 1.5, 95% CI, 1.2-1.9; 6MWT coefficient: -31 +/- 9 ft; physical functioning score coefficient: -1.7 +/- 0.7). CONCLUSION: Average E/e' is a reliable diastolic function parameter that also independently relates with functional capacity and HR-QOL in ambulatory patients with atrial fibrillation. CI - Published by Mosby, Inc. FAU - Punjani, Shahnaz AU - Punjani S AD - Vascular Research Laboratory, Providence VA Medical Center, Providence, Rhode Island 02908, USA. FAU - Wu, Wen-Chih AU - Wu WC FAU - Cohen, Scott AU - Cohen S FAU - Sharma, Satish C AU - Sharma SC FAU - Choudhary, Gaurav AU - Choudhary G LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Validation Study DEP - 20110222 PL - United States TA - J Am Soc Echocardiogr JT - Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography JID - 8801388 SB - IM MH - Acceleration MH - Aged MH - Atrial Fibrillation/*diagnostic imaging/pathology/psychology MH - Confidence Intervals MH - Diastole MH - Echocardiography, Doppler MH - Exercise Test MH - Health Services MH - Health Status Indicators MH - Humans MH - Male MH - Odds Ratio MH - *Quality of Life MH - Reproducibility of Results MH - Statistics as Topic MH - Surveys and Questionnaires MH - Veterans MH - *Walking EDAT- 2011/02/25 06:00 MHDA- 2011/09/02 06:00 CRDT- 2011/02/25 06:00 PHST- 2010/07/29 00:00 [received] PHST- 2011/02/25 06:00 [entrez] PHST- 2011/02/25 06:00 [pubmed] PHST- 2011/09/02 06:00 [medline] AID - S0894-7317(11)00041-1 [pii] AID - 10.1016/j.echo.2011.01.008 [doi] PST - ppublish SO - J Am Soc Echocardiogr. 2011 May;24(5):533-540.e3. doi: 10.1016/j.echo.2011.01.008. Epub 2011 Feb 22.