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Diagnosis and management of diastolic dysfunction and heart failure.
Am Fam Physician. 2006 Mar 01; 73(5):841-6.AF

Abstract

Diastolic heart failure occurs when signs and symptoms of heart failure are present but left ventricular systolic function is preserved (i.e., ejection fraction greater than 45 percent). The incidence of diastolic heart failure increases with age; therefore, 50 percent of older patients with heart failure may have isolated diastolic dysfunction. With early diagnosis and proper management the prognosis of diastolic dysfunction is more favorable than that of systolic dysfunction. Distinguishing diastolic from systolic heart failure is essential because the optimal therapy for one may aggravate the other. Although diastolic heart failure is clinically and radiographically indistinguishable from systolic heart failure, normal ejection fraction and abnormal diastolic function in the presence of symptoms and signs of heart failure confirm diastolic heart failure. The pharmacologic therapies of choice for diastolic heart failure are angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, diuretics, and beta blockers.

Authors+Show Affiliations

Department of Cardiology, Utkal University, Sriram Chandra Bhanja Medical College, Cuttack, Orissa, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16529092

Citation

Satpathy, Chhabi, et al. "Diagnosis and Management of Diastolic Dysfunction and Heart Failure." American Family Physician, vol. 73, no. 5, 2006, pp. 841-6.
Satpathy C, Mishra TK, Satpathy R, et al. Diagnosis and management of diastolic dysfunction and heart failure. Am Fam Physician. 2006;73(5):841-6.
Satpathy, C., Mishra, T. K., Satpathy, R., Satpathy, H. K., & Barone, E. (2006). Diagnosis and management of diastolic dysfunction and heart failure. American Family Physician, 73(5), 841-6.
Satpathy C, et al. Diagnosis and Management of Diastolic Dysfunction and Heart Failure. Am Fam Physician. 2006 Mar 1;73(5):841-6. PubMed PMID: 16529092.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and management of diastolic dysfunction and heart failure. AU - Satpathy,Chhabi, AU - Mishra,Trinath K, AU - Satpathy,Ruby, AU - Satpathy,Hemant K, AU - Barone,Eugene, PY - 2006/3/15/pubmed PY - 2006/3/29/medline PY - 2006/3/15/entrez SP - 841 EP - 6 JF - American family physician JO - Am Fam Physician VL - 73 IS - 5 N2 - Diastolic heart failure occurs when signs and symptoms of heart failure are present but left ventricular systolic function is preserved (i.e., ejection fraction greater than 45 percent). The incidence of diastolic heart failure increases with age; therefore, 50 percent of older patients with heart failure may have isolated diastolic dysfunction. With early diagnosis and proper management the prognosis of diastolic dysfunction is more favorable than that of systolic dysfunction. Distinguishing diastolic from systolic heart failure is essential because the optimal therapy for one may aggravate the other. Although diastolic heart failure is clinically and radiographically indistinguishable from systolic heart failure, normal ejection fraction and abnormal diastolic function in the presence of symptoms and signs of heart failure confirm diastolic heart failure. The pharmacologic therapies of choice for diastolic heart failure are angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, diuretics, and beta blockers. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/16529092/Diagnosis_and_management_of_diastolic_dysfunction_and_heart_failure_ L2 - http://www.aafp.org/link_out?pmid=16529092 DB - PRIME DP - Unbound Medicine ER -