Heart failure with preserved ejection fraction: the role of diastolic stress test in diagnostic algorithms
Heart failure (HF) with preserved ejection fraction (HFpEF) is currently the most common type of this condition, especially among elderly patients. Despite the preserved left ventricular (LV) and a moderate increase in natriuretic peptide, patients with HFpEF have the same out-of-hospital mortality...
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«FIRMA «SILICEA» LLC
2021-03-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/4147 |
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| author | E. N. Pavlyukova D. A. Kuzhel |
| author_facet | E. N. Pavlyukova D. A. Kuzhel |
| author_sort | E. N. Pavlyukova |
| collection | DOAJ |
| description | Heart failure (HF) with preserved ejection fraction (HFpEF) is currently the most common type of this condition, especially among elderly patients. Despite the preserved left ventricular (LV) and a moderate increase in natriuretic peptide, patients with HFpEF have the same out-of-hospital mortality as those with HF with reduced ejection fraction (HFrEF). Diagnosis of HFpEF is difficult due to nonspecific symptoms, expensive blood tests, and questionable rest echocardiographic data on diastolic function. In addition, the reason for poor diagnosis of HfpEF in clinical practice may be old age and comorbidities, which can also cause nonspecific symptoms of moderate chronic shortness of breath, weakness, and palpitations. The consequence is the detection of HFpEF only in every fourth patient with an acute or chronic heart failure. The use of simplified clinical diagnostic protocols along with a non-invasive ultrasound stress test can help overcome the existing problems in the diagnosis of HFpEF. |
| format | Article |
| id | doaj-art-e80c44c309a74d00b72897e45d3e2824 |
| institution | Matheson Library |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2021-03-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-e80c44c309a74d00b72897e45d3e28242025-08-04T13:00:24Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-03-0126210.15829/1560-4071-2021-41473171Heart failure with preserved ejection fraction: the role of diastolic stress test in diagnostic algorithmsE. N. Pavlyukova0D. A. Kuzhel1Cardiology Research Institute, Tomsk National Medical Research CenterVoino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Regional Hospital № 2Heart failure (HF) with preserved ejection fraction (HFpEF) is currently the most common type of this condition, especially among elderly patients. Despite the preserved left ventricular (LV) and a moderate increase in natriuretic peptide, patients with HFpEF have the same out-of-hospital mortality as those with HF with reduced ejection fraction (HFrEF). Diagnosis of HFpEF is difficult due to nonspecific symptoms, expensive blood tests, and questionable rest echocardiographic data on diastolic function. In addition, the reason for poor diagnosis of HfpEF in clinical practice may be old age and comorbidities, which can also cause nonspecific symptoms of moderate chronic shortness of breath, weakness, and palpitations. The consequence is the detection of HFpEF only in every fourth patient with an acute or chronic heart failure. The use of simplified clinical diagnostic protocols along with a non-invasive ultrasound stress test can help overcome the existing problems in the diagnosis of HFpEF.https://russjcardiol.elpub.ru/jour/article/view/4147heart failurediastolic functionechocardiographystress test |
| spellingShingle | E. N. Pavlyukova D. A. Kuzhel Heart failure with preserved ejection fraction: the role of diastolic stress test in diagnostic algorithms Российский кардиологический журнал heart failure diastolic function echocardiography stress test |
| title | Heart failure with preserved ejection fraction: the role of diastolic stress test in diagnostic algorithms |
| title_full | Heart failure with preserved ejection fraction: the role of diastolic stress test in diagnostic algorithms |
| title_fullStr | Heart failure with preserved ejection fraction: the role of diastolic stress test in diagnostic algorithms |
| title_full_unstemmed | Heart failure with preserved ejection fraction: the role of diastolic stress test in diagnostic algorithms |
| title_short | Heart failure with preserved ejection fraction: the role of diastolic stress test in diagnostic algorithms |
| title_sort | heart failure with preserved ejection fraction the role of diastolic stress test in diagnostic algorithms |
| topic | heart failure diastolic function echocardiography stress test |
| url | https://russjcardiol.elpub.ru/jour/article/view/4147 |
| work_keys_str_mv | AT enpavlyukova heartfailurewithpreservedejectionfractiontheroleofdiastolicstresstestindiagnosticalgorithms AT dakuzhel heartfailurewithpreservedejectionfractiontheroleofdiastolicstresstestindiagnosticalgorithms |