Diagnosis and treatment of heart failure with preserved left ventricular ejection fraction

• 作者: Robert J Henning
• 来源期刊: 世界心脏病学杂志:英文版(电子版)
• 学科: 地球科学
• 关键词: DIASTOLIC HEART FAILURE Myocardial stiffness INCOMPLETE left VENTRICULAR relaxation Echocardiographic HEART FAILURE criteria Pulmonary artery pressure monitoring Drug treatment
• 年，卷（期）: 2020,（1）
• 页码范围: 7-25
• 页数: 19页
• 分类号: X70

摘要

Nearly six million people in United States have heart failure.Fifty percent of these people have normal left ventricular(LV)systolic heart function but abnormal diastolic function due to increased LV myocardial stiffness.Most commonly,these patients are elderly women with hypertension,ischemic heart disease,atrial fibrillation,obesity,diabetes mellitus,renal disease,or obstructive lung disease.The annual mortality rate of these patients is 8%-12%per year.The diagnosis is based on the history,physical examination,laboratory data,echocardiography,and,when necessary,by cardiac catheterization.Patients with obesity,hypertension,atrial fibrillation,and volume overload require weight reduction,an exercise program,aggressive control of blood pressure and heart rate,and diuretics.Miniature devices inserted into patients for pulmonary artery pressure monitoring provide early warning of increased pulmonary pressure and congestion.If significant coronary heart disease is present,coronary revascularization should be considered.