Cardiologia Croatica, Vol. 6 No. 7-8, 2011.
Professional paper
Heart failure with preserved ejecton fraction – a new entity in cardiology.
Yvonne Vukušić-Janjić
; Polyclinic Panaceja, Županja, Croatia
Abstract
With ever greater prevalence of elderly persons
in the developed countries, especially by applying modern
echocardiographic diagnostics, the knowledge of fundamental
mechanisms of occurrence of heart failure based on
diastolic dysfunction is disseminated and the need for defining
the heart failure entities with preserved ejection fraction (HFp-
EF) is created. Unclear characteristics of patients and treatment
with no evidence of efficiency have marginalized the known
entity since 1998. The equally serious prognosis such as heart
failure with reduced ejection fraction (HFrEF) following the
hospitalization and the growth in the portion in the total number
of heart failure repositions HFrEF into the center of attention.
The evaluation of the diastolic function must be emphasized
in every finding of the echocardiographic examination.
The preliminary results of the study Aldo-DHF explain clinical
characteristics of the persons suffering from HFpEF. The role of
humoral activation in remodeling of myocardium and therapeutic
implication of nonpharmacological interventions, especially
of the training bring the new promising elements in the
more comprehensive therapy
Keywords
echocardiography; heart failure; diastolic function
Hrčak ID:
71476
URI
Publication date:
21.7.2011.
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