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Novel strategies for the detection of systolic and diastolic heart failure.

Bolt CL, Baur L, Stoffers J, Lenderink T, Winkens R - Curr Cardiol Rev (2009)

Bottom Line: Without cardiac imaging it is also impossible to separate systolic dysfunction from diastolic dysfunction.Additionally a Chest X-Ray or ECG can be performed.To improve diagnostic performance an open access echocardiographic service can be initiated.

View Article: PubMed Central - PubMed

Affiliation: Dept. of Cardiology, Atrium Medical Centre Parkstad.

ABSTRACT
The incidence and prevalence of dyspnea increases with age. Frequently, for the general practitioner with his limited diagnostic facilities, it is impossible to separate dyspnea from cardiac causes and non-cardiac causes. Without cardiac imaging it is also impossible to separate systolic dysfunction from diastolic dysfunction. After a thorough physical examination, initial screening of systolic and diastolic heart failure can be done by measurement of plasma NT-pro BNP or plasma BNP. Additionally a Chest X-Ray or ECG can be performed. To improve diagnostic performance an open access echocardiographic service can be initiated. Recent studies showed, that open access echocardiography can easily detect systolic and diastolic dysfunction in the community and can separate cardiac from non-cardiac dyspnea.

No MeSH data available.


Related in: MedlinePlus

Pressure-volume loops in a patient a normal individual (interrupted line) and a patient with systolic dysfunction (un-interrupted line). Systolic dysfunction is characterised by decreased stoke work (the area inside the pressure-volume loop) and decreased ejection fraction. The slope of the endsystolic pressure-volume relation is also decreased and moved downward and to the right [10].
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Figure 3: Pressure-volume loops in a patient a normal individual (interrupted line) and a patient with systolic dysfunction (un-interrupted line). Systolic dysfunction is characterised by decreased stoke work (the area inside the pressure-volume loop) and decreased ejection fraction. The slope of the endsystolic pressure-volume relation is also decreased and moved downward and to the right [10].

Mentions: Measurement with pressure-volume loops is the gold standard for assessment of left ventricular systolic dysfunction (Fig. 3).


Novel strategies for the detection of systolic and diastolic heart failure.

Bolt CL, Baur L, Stoffers J, Lenderink T, Winkens R - Curr Cardiol Rev (2009)

Pressure-volume loops in a patient a normal individual (interrupted line) and a patient with systolic dysfunction (un-interrupted line). Systolic dysfunction is characterised by decreased stoke work (the area inside the pressure-volume loop) and decreased ejection fraction. The slope of the endsystolic pressure-volume relation is also decreased and moved downward and to the right [10].
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2805813&req=5

Figure 3: Pressure-volume loops in a patient a normal individual (interrupted line) and a patient with systolic dysfunction (un-interrupted line). Systolic dysfunction is characterised by decreased stoke work (the area inside the pressure-volume loop) and decreased ejection fraction. The slope of the endsystolic pressure-volume relation is also decreased and moved downward and to the right [10].
Mentions: Measurement with pressure-volume loops is the gold standard for assessment of left ventricular systolic dysfunction (Fig. 3).

Bottom Line: Without cardiac imaging it is also impossible to separate systolic dysfunction from diastolic dysfunction.Additionally a Chest X-Ray or ECG can be performed.To improve diagnostic performance an open access echocardiographic service can be initiated.

View Article: PubMed Central - PubMed

Affiliation: Dept. of Cardiology, Atrium Medical Centre Parkstad.

ABSTRACT
The incidence and prevalence of dyspnea increases with age. Frequently, for the general practitioner with his limited diagnostic facilities, it is impossible to separate dyspnea from cardiac causes and non-cardiac causes. Without cardiac imaging it is also impossible to separate systolic dysfunction from diastolic dysfunction. After a thorough physical examination, initial screening of systolic and diastolic heart failure can be done by measurement of plasma NT-pro BNP or plasma BNP. Additionally a Chest X-Ray or ECG can be performed. To improve diagnostic performance an open access echocardiographic service can be initiated. Recent studies showed, that open access echocardiography can easily detect systolic and diastolic dysfunction in the community and can separate cardiac from non-cardiac dyspnea.

No MeSH data available.


Related in: MedlinePlus