Research Article

Determinants of Normal Left Atrial Volume in Heart Failure with Moderate-to-Severely Reduced Ejection Fraction

Table 1

Baseline demographics and clinical characteristics.

VariableNormal LAVi Dilated LAVi value

Age (years) (mean ± SD)52.0 ± 9.164.9 ± 13.9<0.01
Medications, (%)
 ACE-I17 (65)21 (44)0.08
 ARB5 (19)16 (33)0.20
 Hydralazine08 (17)
 Oral nitrates1 (4)10 (21)0.08
 AA7 (27)11 (23)0.70
 BB26 (100)43 (90)
 CCB1 (4)4 (8)0.47
 Digoxin3 (12)9 (19)0.43
 Statin19 (73)29 (60)0.28
 Diuretic18 (69)40 (83)0.17
 Anticoagulation7 (27)13 (27)0.99
 Antiplatelet21 (81)36 (75)0.57
Female, (%)8 (31)14 (29)0.89
BMI (kg/m2) (mean ± SD)30.2 ± 7.126.7 ± 5.40.02
White race, (%)18 (69)18 (38)0.01
Previous myocardial infarction, (%)14 (54)27 (56)0.84
Coronary artery disease, (%)14 (54)28 (58)0.71
Ischemic cardiomyopathy, (%)12 (46)26 (54)0.55
CABG, (%)5 (19)10 (21)0.87
Hypertension, (%)13 (50)31 (65)0.23
Hyperlipidemia, (%)18 (69)31 (65)0.69
Diabetes, (%)14 (54)16 (33)0.09
Stroke/TIA, (%)3 (12)9 (19)0.43
Obstructive sleep apnea, (%)6 (23)4 (8)0.09
Smoking history, (%)17 (65)29 (60)0.84
NT-proBNP (mg/dL) (mean ± SD)874.5 ± 1324.79364.2 ± 11,296.30.02
Creatinine (mg/dL) (mean ± SD)1.0 ± 0.31.9 ± 1.90.04
Hemodialysis, (%)02 (4)
PCWP (mmH2O) (mean ± SD)14.1 ± 6.722 ± 8.20.07
LVEF (%) (mean ± SD)29.9 ± 5.424.1 ± 7.0<0.01

ACE-I, angiotensin-converting enzyme inhibitor; ARB, angiotensin receptor blocker; AA, aldosterone antagonist; BB, beta-blocker; CCB, calcium channel blocker; BMI, body mass index; CABG, coronary artery bypass grafting; TIA, transient ischemic attack; NT-proBNP, N-terminal pro-brain natriuretic peptide; PCWP, pulmonary capillary wedge pressure; LVEF, left ventricular ejection fraction.