McManus D, Aurigemma G
Cardiology Division, Department of Medicine University of Massachusetts Medical Center Worcester, MA 01655, USA.
Minerva Cardioangiol. 2006 Dec;54(6):695-713.
Congestive heart failure is a common cardiovascular disorder among adults and is a major cause of morbidity and mortality worldwide. Diastolic heart failure (DHF) is implicated in 1/3 to 1/2 of all heart failure cases and results from an abnormality of ventricular relaxation, compliance or filling. DHF differs from heart failure with reduced ejection fraction in epidemiology, pathophysiology, and natural history. Recent advances have improved our understanding of DHF. This review summarizes these advances and discusses their clinical implications as they pertain to the diagnosis and management of patients with DHF.
充血性心力衰竭是成年人中常见的心血管疾病，是全球发病和死亡的主要原因。舒张性心力衰竭（DHF）在所有心力衰竭病例中占三分之一至二分之一，是由心室舒张、顺应性或充盈异常引起的。DHF在流行病学、病理生理学和自然史方面与射血分数降低的心力衰竭不同。最近的进展提高了我们对DHF的认识。本综述总结了这些进展，并讨论了它们对DHF患者诊断和管理的临床意义。
