Diastolic dysfunction differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Diastolic dysfunction}} | {{Diastolic dysfunction}} | ||
{{CMG}} | {{CMG}}; '''Assistant Editor(s)-in-Chief:''' [[User:Rim Halaby|Rim Halaby]] | ||
==Overview== | ==Overview== | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Differentiation of [[Diastolic Dysfunction]] from [[Systolic Dysfunction]]=== | ===Differentiation of [[Diastolic Dysfunction]] from [[Systolic Dysfunction]]=== | ||
'''*Characteristics of systolic dysfunction:''' | |||
* | |||
**Large, dilated, eccentrically hypertrophied ventricles | **Large, dilated, eccentrically hypertrophied ventricles | ||
**Impaired blood ejection during systole | **Impaired blood ejection during systole | ||
**Decreased [[cardiac output]] and [[ejection fraction]] | **Decreased [[cardiac output]] and [[ejection fraction]] | ||
**Normal or decreased blood pressure | **Normal or decreased blood pressure | ||
**Can occur in any age and more frequent in men than in women | **Can occur in any age and more frequent in men than in women | ||
**Presence of S3 gallop | **Presence of S3 gallop | ||
'''*Characteristics of diastolic dysfunction:''' | |||
* | |||
**Small, thickened, concentrically hypertrophied ventricles | **Small, thickened, concentrically hypertrophied ventricles | ||
**Impaired blood filling during diastole | **Impaired blood filling during diastole | ||
**Normal ejection fraction | **Normal ejection fraction | ||
**Systemic elevation of the blood pressure | **Systemic elevation of the blood pressure | ||
**Occurs mainly in elderly women | **Occurs mainly in elderly women | ||
**Presence of S4 gallop <ref>Francis G.S., Tang W., Walsh R.A. (2011). Chapter 26. Pathophysiology of Heart Failure. In V. Fuster, R.A. Walsh, R.A. Harrington (Eds), Hurst's The Heart, 13e.</ref> | **Presence of S4 gallop <ref>Francis G.S., Tang W., Walsh R.A. (2011). Chapter 26. Pathophysiology of Heart Failure. In V. Fuster, R.A. Walsh, R.A. Harrington (Eds), Hurst's The Heart, 13e.</ref> | ||
===Diffenciation of diastolic dysfunction from other diseases=== | ===Diffenciation of diastolic dysfunction from other diseases=== | ||
Revision as of 02:53, 20 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor(s)-in-Chief: Rim Halaby
Overview
Diastolic heart failure is one of the examples of heart failure with preserved ejection fraction. Other causes that cause heart failure and do not affect ejection fraction need to be differentiated from this condition.
Differential Diagnosis
Differentiation of Diastolic Dysfunction from Systolic Dysfunction
*Characteristics of systolic dysfunction:
- Large, dilated, eccentrically hypertrophied ventricles
- Impaired blood ejection during systole
- Decreased cardiac output and ejection fraction
- Normal or decreased blood pressure
- Can occur in any age and more frequent in men than in women
- Presence of S3 gallop
*Characteristics of diastolic dysfunction:
- Small, thickened, concentrically hypertrophied ventricles
- Impaired blood filling during diastole
- Normal ejection fraction
- Systemic elevation of the blood pressure
- Occurs mainly in elderly women
- Presence of S4 gallop [1]
Diffenciation of diastolic dysfunction from other diseases
- Right heart failure
- Valvular heart disease
- Pericardial diseases - constrictive pericarditis, cardiac tamponade
- Cardiac tumors
- High output cardiac failure
References
- ↑ Francis G.S., Tang W., Walsh R.A. (2011). Chapter 26. Pathophysiology of Heart Failure. In V. Fuster, R.A. Walsh, R.A. Harrington (Eds), Hurst's The Heart, 13e.