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Diastolic left ventricular dysfunction and heart failure with preserved ejection fraction in elderly

Authors: Calenici, O.S.; Carauş, A.P.; Caraush, A.; Moiseeva, A.N.; Cociu, M.; Untura, L.; Carauş, M.; +1 Authors

Diastolic left ventricular dysfunction and heart failure with preserved ejection fraction in elderly

Abstract

Congestive heart failure with preserved left ventricular systolic function is termed ldquo;diastolic heart failurerdquo; and is more prevalent in the older population, may account for one half of the older population with congestive heart failure, and may be more common in women than men. The prognosis of patients with congestive heart failure due to diastolic dysfunction is less ominous than in patients with systolic dysfunction yet the morbidity can be high with frequent treatment failures and hospital readmissions. Conclusions: Thus, the diagnosis of heart failure with preserved ejection fraction HFpEF on elderly ge; 85 years old patients is cumbersome. Diagnosis of heart failure with preserved ejection fraction is challenging in euvolemic patients with dyspnea, and no evidence-based criteria are available. Diastolic LV dysfunction is very common parameter 58 %, but without any specificity for HFpEF, its treatments should be focused on the underlying disease etiology as well as on the derangement in left ventricular diastolic function.

Сердечная недостаточность с сохранной фракцией выброса, так называемая laquo;диастолическая сердечная недостаточностьraquo;, наиболее распространена среди людей пожилого возраста, чаще среди женщин. Прогноз пациентов с застойной сердечной недостаточностью вызванной диастолической дисфункцией является более благоприятным, чем у пациентов с систолической дисфункцией, однако заболеваемость остаётся высокой, с неудачами в лечении и частыми повторными госпитализациями. Таким образом, диагностика сердечной недостаточности с сохранной фракцией выброса у пожилых ge; 85 лет является сложной и представляет собой проблему у эуволемичных пациентов с одышкой из-за отсутствия критериев основанных на доказательной базе. Диастолическая дисфункция ЛЖ является частым 58%, но неспецифичным параметром для сердечной недостаточности с сохранной фракцией выброса, подход к ней должен быть ориентирован на этиологию основного заболевания, а также на нарушение диастолической функции ЛЖ.

Insuficiența cardiacă cu fracția de ejecție păstrată este denumită bdquo;insuficiență cardiacă diastolicărdquo; și este mai răspândită în rândul vârstnicilor, mai frecventă la femei. Prognosticul pacienților cu insuficiență cardiacă congestivă din cauza disfuncției diastolice este mai favorabil, decât la pacienții cu disfuncție sistolică, însă morbiditatea rămâne ridicată cu eșecuri în tratament și respitalizări frecvente. Astfel, diagnosticul de insuficiență cardiacă cu fracție de ejecție păstrată ICpEF la vârstnici ge; 85 de ani este unul complicat și reprezintă o provocare la pacienții euvolemici cu dispnee, din motivul lipsei criteriilor bazate pe dovezi. Disfuncția diastolică a VS este un parametru frecvent 58%, dar fără nicio specificitate pentru ICpEF, abordarea acesteia ar trebui să fie concentrată pe etiologia bolii de bază, precum și pe tulburarea funcției diastolice ventriculare stângi.

Country
Moldova (Republic of)
Related Organizations
Keywords

funcție diastolică, congestive heart failure, Застойная сердечная недостаточность, диастолическая функция, funcție sistolică a ventriculului stâng, preserved left ventricular systolic function, diastolic function, Insuficiență cardiacă congestivă, систолическая функция левого желудочка

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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green