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{{Diastolic dysfunction}}
{{Diastolic dysfunction}}
{{CMG}}; '''Assistant Editor in Chief:''' [[user:Hector Tamez|Hector Tamez]] [mailto:tamez.hector@gmail.com]


==Treatment==
'''For patient information, click [[Diastolic dysfunction (patient information)|here]]'''
By and large, diastolic dysfunction is chronic process (except during acute [[ischemia]] - see above). When this chronic condition is well tolerated by an individual, no specific treatment may be indicated. Rather, therapy should be directed at the root cause of the stiff left ventricle with things like high blood pressure and diabetes treated appropriately. Conversely, and as noted above, diastolic dysfunction tends to be better tolerated if the atrium is able to pump blood into the ventricles in a coordinated fashion. This does not occur in [[atrial fibrillation]] where there is no coordinated atrial activity. Hence, atrial fibrillation should be treated aggressively in people with diastolic dysfunction. In the same light, and also as noted above, if the atrial fibrillation persists and is leading to a rapid heart rate, treatment must be given to slow down that rate.
 
{{CMG}}; '''Assistant Editor in Chief:''' [[user:Hector Tamez|Hector Tamez]] [mailto:tamez.hector@gmail.com]; [[User:Rim Halaby|Rim Halaby]]
 
{{SK}} Diastolic heart failure
 
==[[Diastolic dysfunction overview|Overview]]==
==[[Diastolic dysfunction classification|Classification]]==
==[[Diastolic dysfunction pathophysiology |Pathophysiology]]==
==[[Diastolic dysfunction causes |Causes]]==
==[[Diastolic dysfunction differential diagnosis|Differentiating Diastolic dysfunction from other Diseases]]==


At this date, the role of specific treatments for diastolic dysfunction ''per se'' is unclear. There is some evidence that [[calcium channel blocker]] drugs may be of benefit in reducing ventricular stiffness in some cases. Likewise, treatment with [[angiotensin converting enzyme inhibitors]] such as [[enalapril]], [[ramipril]], and many others, may be of benefit due to their effect on [[ventricular remodeling]].
==[[Diastolic dysfunction epidemiology and demographics|Epidemiology and Demographics]]==
==[[Diastolic dysfunction natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
==Diagnosis==
[[Diastolic dysfunction diagnostic criteria|Diagnostic Criteria]] | [[Diastolic dysfunction history and symptoms|History and Symptoms]] | [[Diastolic dysfunction physical examination|Physical Examination]] | [[Diastolic dysfunction laboratory findings|Laboratory Findings]] | [[Diastolic dysfunction echocardiography|Echocardiography]] | [[Diastolic dysfunction other diagnostic studies|Other Diagnostic Studies]]


A major treatment consideration in people with diastolic dysfunction is when [[pulmonary edema]] develops. Unlike treatment of pulmonary edema occurring the setting of [[systolic]] dysfunction (where the primary problem is poor ventricular pumping as opposed to poor filling), the treatment of pulmonary edema complicating diastolic dysfunction emphasizes heart rate control (i.e. lowering it). [[Diuretics]] are often given as well. The role of afterload reduction in this setting is unknown.
==Treatment==
[[Diastolic dysfunction medical therapy|Medical Therapy]] | [[Diastolic dysfunction primary prevention|Primary Prevention]] | [[Diastolic dysfunction secondary prevention|Secondary Prevention]] | [[Diastolic dysfunction cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Diastolic dysfunction future or investigational therapies|Future or Investigational Therapies]]


==References==
==Case Studies==
{{Reflist|2}}
[[Diastolic dysfunction case study one|Case #1]]


==Sources==
==Related Chapters==
#Owan TE, Hodge DO, Herges, RM, Jacobsen SJ, Roger VL, Redfield MM. Trends in Prevalence and outcome of heart failure with preserved ejection fraction. N Engl J Med 2006; 355:251-9.
*[[Heart failure]]
#Bhatia S, Tu JV, Lee DS, Austin PC, Fang J, Haouzi A, Gong Y, Liu PP. Outcome of heart failure with preserved ejection fraction in a population-based study. N Engl J Med 2006; 355:260-9.
*[[Systolic dysfunction]]
*[[Ejection fraction]]


[[Category:Cardiovascular diseases]]
[[Category:Cardiovascular diseases]]
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
 
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[[Category:Up-To-Date cardiology]]
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Latest revision as of 12:14, 30 January 2013

Diastolic dysfunction Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating Diastolic dysfunction from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Echocardiography

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Diastolic dysfunction On the Web

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Risk calculators and risk factors for Diastolic dysfunction

For patient information, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor in Chief: Hector Tamez [2]; Rim Halaby

Synonyms and keywords: Diastolic heart failure

Overview

Classification

Pathophysiology

Causes

Differentiating Diastolic dysfunction from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria | History and Symptoms | Physical Examination | Laboratory Findings | Echocardiography | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters


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