Diastolic dysfunction differential diagnosis

Jump to navigation Jump to search

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 differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Diastolic dysfunction differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Diastolic dysfunction differential diagnosis

CDC on Diastolic dysfunction differential diagnosis

Diastolic dysfunction differential diagnosis in the news

Blogs on Diastolic dysfunction differential diagnosis

Directions to Hospitals Treating Diastolic dysfunction

Risk calculators and risk factors for Diastolic dysfunction differential diagnosis

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.

Differentiating Diastolic dysfunction from other Diseases

Differentiation of Diastolic Dysfunction from Systolic Dysfunction

Characteristics of Systolic dysfunction

Characteristics of Diastolic Dysfunction

  • Small, thickened, concentrically hypertrophied ventricles
  • Large atria
  • Impaired blood filling during diastole
  • Normal ejection fraction
  • Systemic elevation of the blood pressure
  • Occurs mainly in elderly women
  • Presence of S4 gallop[1]

Differentiation of Restrictive cardiomyopathy with Associated Diastolic dysfunction from Constrictive pericarditis

The Diagnostic Parameters that are Similar Between Restrictive cardiomyopathy with Associated Diastolic dysfunction and Constrictive pericarditis

Left Ventricular Filling Pressure
  • Elevated left ventricular filling pressure in both conditions
Mitral Inflow Velocity Pattern
  • Elevated E/A ratio and decreased DT (consistent with pseudo-normal or restrictive filling pattern) in both conditions

The Diagnostic Parameters used to Distinguish Restrictive cardiomyopathy with Associated Diastolic dysfunction from Constrictive pericarditis

Mitral Inflow Velocity Pattern
Respiratory Variation in Mitral E Velocity
Hepatic Venous Flow
  • Diastolic flow reversal during expiration in constrictive pericarditis
  • Diastolic flow reversal during inspiration in restrictive pericarditis[2]

Differentiation of Diastolic Dysfunction from other Medical Conditions

References

  1. 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.
  2. Nagueh SF, Appleton CP, Gillebert TC, Marino PN, Oh JK, Smiseth OA; et al. (2009). "Recommendations for the evaluation of left ventricular diastolic function by echocardiography". J Am Soc Echocardiogr. 22 (2): 107–33. doi:10.1016/j.echo.2008.11.023. PMID 19187853.


Template:WikiDoc Sources