Problems in treating patients with high-risk arterial hypertension: focussing on diastolic heart failure
Currently, the prevalence of diastolic chronic heart failure (DCHF) in the population of chronic heart failure (CHF) patients reaches 40—55 %, being as high as ≥73 % in Russia. The prevalence of DCHF is higher in older age groups and women. The CHF diagnosis is mostly based on clinical examination o...
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«SILICEA-POLIGRAF» LLC
2010-06-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/2095 |
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| author | O. M. Drapkina |
| author_facet | O. M. Drapkina |
| author_sort | O. M. Drapkina |
| collection | DOAJ |
| description | Currently, the prevalence of diastolic chronic heart failure (DCHF) in the population of chronic heart failure (CHF) patients reaches 40—55 %, being as high as ≥73 % in Russia. The prevalence of DCHF is higher in older age groups and women. The CHF diagnosis is mostly based on clinical examination of the patient, since a standard assessment of E/A ratio is often not informative enough. Detailed assessment of diastolic function requires measurement of heart wall thickness and atrial sizes during four-chamber position echocardiography. According to the European clinical guidelines, the leading role in diastolic function assessment belongs to E/Em parameter, reflecting early diastolic mitral flow E and early diastolic myocardial relaxation. An increase in E/Em up to 8—15 is a sign of diastolic dysfunction. Despite substantial advances in the treatment of CHF with decreased ejection fraction, currently, there are no medications for the treatment of DCHF with effectiveness demonstrated in largescale randomised clinical trials. Therefore, the present approaches to DCHF treatment remain empirically based. |
| format | Article |
| id | doaj-art-c361f1a2168748edaa27a6d4b1c0ccb2 |
| institution | DOAJ |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2010-06-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-c361f1a2168748edaa27a6d4b1c0ccb22025-08-20T02:59:53Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252010-06-0193111171806Problems in treating patients with high-risk arterial hypertension: focussing on diastolic heart failureO. M. Drapkina0I.M. Sechenov Moscow Medical Academy. MoscowCurrently, the prevalence of diastolic chronic heart failure (DCHF) in the population of chronic heart failure (CHF) patients reaches 40—55 %, being as high as ≥73 % in Russia. The prevalence of DCHF is higher in older age groups and women. The CHF diagnosis is mostly based on clinical examination of the patient, since a standard assessment of E/A ratio is often not informative enough. Detailed assessment of diastolic function requires measurement of heart wall thickness and atrial sizes during four-chamber position echocardiography. According to the European clinical guidelines, the leading role in diastolic function assessment belongs to E/Em parameter, reflecting early diastolic mitral flow E and early diastolic myocardial relaxation. An increase in E/Em up to 8—15 is a sign of diastolic dysfunction. Despite substantial advances in the treatment of CHF with decreased ejection fraction, currently, there are no medications for the treatment of DCHF with effectiveness demonstrated in largescale randomised clinical trials. Therefore, the present approaches to DCHF treatment remain empirically based.https://cardiovascular.elpub.ru/jour/article/view/2095high-risk arterial hypertensionchronic heart failurediastolic functiondiagnosticstreatment |
| spellingShingle | O. M. Drapkina Problems in treating patients with high-risk arterial hypertension: focussing on diastolic heart failure Кардиоваскулярная терапия и профилактика high-risk arterial hypertension chronic heart failure diastolic function diagnostics treatment |
| title | Problems in treating patients with high-risk arterial hypertension: focussing on diastolic heart failure |
| title_full | Problems in treating patients with high-risk arterial hypertension: focussing on diastolic heart failure |
| title_fullStr | Problems in treating patients with high-risk arterial hypertension: focussing on diastolic heart failure |
| title_full_unstemmed | Problems in treating patients with high-risk arterial hypertension: focussing on diastolic heart failure |
| title_short | Problems in treating patients with high-risk arterial hypertension: focussing on diastolic heart failure |
| title_sort | problems in treating patients with high risk arterial hypertension focussing on diastolic heart failure |
| topic | high-risk arterial hypertension chronic heart failure diastolic function diagnostics treatment |
| url | https://cardiovascular.elpub.ru/jour/article/view/2095 |
| work_keys_str_mv | AT omdrapkina problemsintreatingpatientswithhighriskarterialhypertensionfocussingondiastolicheartfailure |