Ebook The 4 stages of heart failure: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook The 4 stages of heart failure: Part 2
Ebook The 4 stages of heart failure: Part 2
CHAPTER 7Assessment of Stage c Patients with HF-pEFFAST FACTS•HF-pEF is associated with conditions that cause diastolic dysfunction:-Hypertensive hear Ebook The 4 stages of heart failure: Part 2rt disease-Coronary artery disease-Hypertrophic cardiomyopathy (HCM)-Restrictive cardiomyopathy•Doppler echocardiography assesses left ventricular diastolic function.•In patients with HCM and a family history of HCM, 60%-70% will have an identifiable genetic mutation of the sarcomere.•Amyloidosis is Ebook The 4 stages of heart failure: Part 2 the most common identifiable cause of restrictive cardiomyopathy.•Other causes of heart failure without left ventricular systolic dysfunction includeEbook The 4 stages of heart failure: Part 2
valvular disease, pericardial disease, and cor pulmonale.•Heart failure associated with obstructive or central sleep apnea may be improved by night-tCHAPTER 7Assessment of Stage c Patients with HF-pEFFAST FACTS•HF-pEF is associated with conditions that cause diastolic dysfunction:-Hypertensive hear Ebook The 4 stages of heart failure: Part 2scle stretches under the distending force of venous pressure is probably quite as important a factor in the hearts behavior as the force and rapidity of the systolic contraction”-Yandell Henderson, 19231Ihe 4 Stages of Heait fai/u/e ® 20Ĩ 5 Brian E. Jaski. Cardiotext Publishing, ISBN: 978 1-935395-3 Ebook The 4 stages of heart failure: Part 200. 135136 • Chapter 7: Assessment of Stage c Patients with HF-pEFDiagnosis of HF-pEFHeart failure with preserved ejection fraction (HF-pEFj can be diEbook The 4 stages of heart failure: Part 2
agnosed when clinical findings of congestion due to elevated pulmonary or systemic venous pressures present with no more than mild left ventricular syCHAPTER 7Assessment of Stage c Patients with HF-pEFFAST FACTS•HF-pEF is associated with conditions that cause diastolic dysfunction:-Hypertensive hear Ebook The 4 stages of heart failure: Part 2s the case (see chapter 2). Similarly, left ventricular hypertrophy by echocardiography is often present, but HF-pEF may still be present due to coronary artery disease or other conditions without increased left ventricular wall thickness (Figure 7.1). Beyond pathologic processes that directly affec Ebook The 4 stages of heart failure: Part 2t myocardial structure, inflammation from noncardiac comorbidities and increased arterial stiffness can indirectly contribute to cardiomyocyte hypertrEbook The 4 stages of heart failure: Part 2
ophy, interstitial fibrosis, and impaired left ventricular diastolic filling.2Is left ventricular wall thickness increased (>11 mm)?YESNOYESịHypertensCHAPTER 7Assessment of Stage c Patients with HF-pEFFAST FACTS•HF-pEF is associated with conditions that cause diastolic dysfunction:-Hypertensive hear Ebook The 4 stages of heart failure: Part 2ịR/0 CAD, otherFIGURE 7.1 Causes of diastolic dysfunction and associated left ventricular wall thickness.DIFFERENTIAL DIAGNOSISInfiltrates on chest x- ray and preserved systolic function by echocardiogram can also be seen with interstitial lung disease or non-cardiogenic pulmonary edema. However, in Ebook The 4 stages of heart failure: Part 2terstitial lung disease does not improve with diuretics. Non-cardiogenic pulmonary edema (also called adult respiratory distress syndrome) can occur iEbook The 4 stages of heart failure: Part 2
n a patient with an acute severe noncardiac systemic illness. In this setting, lung edema develops due to a "capillary leak” despite normal left heartCHAPTER 7Assessment of Stage c Patients with HF-pEFFAST FACTS•HF-pEF is associated with conditions that cause diastolic dysfunction:-Hypertensive hear Ebook The 4 stages of heart failure: Part 2dings and Doppler echocardiographic assessment (see List 7.1) are adequate to distinguish these conditions from HF'PEF. In some cases with indeterminate or overlapping findings, right heart catheterization should be performed; pulmonary capillary wedge pressure is high in HF-pEF and normal or low in Ebook The 4 stages of heart failure: Part 2 primary pulmonary disorders.LIST 7.1 Echo-Doppler Findings in Diastolic DysfunctionCHAPTER 7Assessment of Stage c Patients with HF-pEFFAST FACTS•HF-pEF is associated with conditions that cause diastolic dysfunction:-Hypertensive hearCHAPTER 7Assessment of Stage c Patients with HF-pEFFAST FACTS•HF-pEF is associated with conditions that cause diastolic dysfunction:-Hypertensive hearGọi ngay
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