Hyperparathyroidism and the Calcium Paradox of Aldosteronism

Abstract

In CHF, IMP could be predicted (r = .5315, p < .001) from peak rapid filling velocity (p = .0179) and EF (p = .0226). In AR, IMP could be predicted (r = .515, p < .001) from DCT (p < .0001) and the end diastolic dimension (p = .007) but not the EF. Conclusions: ET is prolonged in AR, a volume overloaded state. Consequently, IMP was insignificantly shortened as compared to normals despite a markedly abnormal DCT suggesting diastolic dysfunction. With CHF, IMP may be falsely low due to a prolonged ET and shortened ICT. IMP should be carefully used as a prognostic indicator. Its application should be cautiously used in states that affect the components of IMP.