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Article Type

Original Study

Abstract

Introduction Impaired systolic cardiac function in patients with ischemic cardiac disease is well known. Diastolic cardiac dysfunction is also found in these patients, so we aimed to show whether percutaneous coronary intervention (PCI) could improve diastolic function. Patients and methods Twenty patients with chronic ischemic cardiomyopathy (with cardiac ejection fraction <45%) were examined at baseline and at 2 weeks after PCI diastolic function was evaluated by transmitral pulsed wave Doppler. Results Before PCI 60% of patients (12 patients) showed nonrestrictive filling pattern and 40% of patients (eight patients) showed restrictive filling pattern. Following PCI, diastolic function showed an improvement in most patients with only two patients still having an restrictive filling pattern. In addition, after revascularization, most parameters of pulsed wave Doppler of diastolic function improved significantly. Conclusion Ischemic heart disease patients with impaired systolic function had marked improvement of diastolic dysfunction and all parameters of the diastolic filling pattern after PCI.

Keywords

Chronic ischemic cardiomyopathy, diastolic dysfunction, percutaneous coronary intervention

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