An Update on Diastolic Dysfunction

被引:18
作者
Lanier, Gregg M. [2 ]
Vaishnava, Prashant [3 ]
Kosmas, Constantine E. [3 ]
Wagman, Gabriel [1 ]
Hiensch, Robert [4 ]
Vittorio, Timothy J. [1 ]
机构
[1] St Francis Hosp, Ctr Heart, Div Cardiol, Ctr Adv Cardiac Therapeut, Roslyn, NY 11576 USA
[2] New York Med Coll, Dept Med, Div Cardiol, Westchester Med Ctr, Valhalla, NY 10595 USA
[3] Mt Sinai Sch Med, Zena & Michael A Wiener Cardiovasc Inst, New York, NY USA
[4] Mt Sinai Sch Med, Dept Internal Med, New York, NY USA
关键词
echocardiography; heart failure; left atrial pressure; pathophysiology; diastolic dysfunction; PRESERVED EJECTION FRACTION; CONGESTIVE-HEART-FAILURE; VENTRICULAR SYSTOLIC FUNCTION; QUALITY-OF-LIFE; NATRIURETIC PEPTIDE; ACTIVE RELAXATION; MORTALITY; DIAGNOSIS; PREVALENCE; PROGNOSIS;
D O I
10.1097/CRD.0b013e31825356d6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diastolic dysfunction refers to abnormal diastolic filling properties of the left ventricle regardless of whether systolic function is normal or the patient has symptoms. Diastolic heart failure (HF), or more accurately, HF with preserved systolic function, is a distinct clinical entity characterized by the presence of the triad of impaired diastolic function, normal systolic function (left ventricular ejection fraction > 50%), and symptoms of HE Patients with HF with preserved systolic function are frequently symptomatic from both acute and chronic elevations in left ventricular end-diastolic pressure and/or left atrial pressure.
引用
收藏
页码:230 / 236
页数:7
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