Diastolic Heart Failure: Definitions and Terminology

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Patients with chronic heart failure can be divided into 2 broad categories: systolic heart failure and diastolic heart failure. There are significant differences in demographics, prognosis, left ventricular structure, as well as systolic and diastolic function between these 2 groups of patients. The purpose of this presentation is to define the terminology used to describe these 2 broad categories of heart failure and to characterize the functional measurements that constitute their pathophysiological mechanisms.

Section snippets

Comparison Between SHF and DHF

Patients with CHF can be divided into 2 broad categories: systolic heart failure (SHF) and DHF. There are significant differences in demographics, prognosis, left ventricular (LV) structure, and function between these 2 groups of patients (Table 1, Table 2).2, 4, 5, 19

Patients with SHF have eccentric remodeling, increased LV diastolic volume, and predominant abnormalities in LV systolic properties including decreased systolic performance, function, and contractility.5, 20, 21 Effective arterial

Acknowledgments

This publication was supported by a grant from the Research Service of the Department of Veterans Affairs (MR Zile) and from the National Heart, Lung, Blood Institute (grant PO1-HL-48788, MR Zile).

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