Approach to patients with heart failure and normal ejection fraction

Mayo Clinic Proceedings
A A Elesber, M M Redfield

Abstract

Approximately 50% of patients with a firm clinical diagnosis of heart failure (HF) have a normal ejection fraction. Some patients have valvular disease, but most have underlying diastolic dysfunction that leads to pulmonary and systemic congestion and signs and symptoms of HF. Although diastolic HF is clinically and radiographically indistinguishable from HF with depressed left systolic ventricular function, knowledge of which patients are at risk of diastolic HF, the common clinical profiles, and the common echocardiographic findings enhances the clinician's ability to diagnose diastolic HF with confidence. The prognostic implications of a diagnosis of diastolic HF and the therapeutic approach to such patients are reviewed.

References

Jan 1, 1993·Journal of the American College of Cardiology·R A NishimuraA J Tajik
Oct 23, 1997·Journal of Cardiac Failure·D L Brutsaert, S U Sys
Sep 12, 2000·Current Cardiology Reports·J G Lainchbury, M M Redfield

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Citations

Sep 24, 2013·Heart Failure Clinics·Senthil Kirubakaran, Mark D O'Neill
Aug 9, 2003·Chest·Philip Andrew
Mar 13, 2002·Mayo Clinic Proceedings·Sumer K Dhir
Apr 17, 2007·Ultrasound in Medicine & Biology·Tom E ClaessensPascal R Verdonck
Mar 24, 2005·The American Journal of Geriatric Cardiology·Marcio Lerch StürmerDenis Roy
Jun 10, 2006·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Salim DabbahYoram Agmon
Feb 28, 2006·Journal of Cardiac Failure· Heart Failure Society Of America
Jan 22, 2003·Journal of the American College of Cardiology·Frederick A MasoudiHarlan M Krumholz
Sep 21, 2013·The Cochrane Database of Systematic Reviews·Mohammed E MadmaniWaleed Kadro

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