Dhar Sunil, Koul Deepak, D'Alonzo Gilbert E
Temple University Hospital-Episcopal Campus, 100 E Lehigh Ave, Philadelphia, PA 19125-1012, USA.
J Am Osteopath Assoc. 2008 Apr;108(4):203-9.
Heart failure is a highly prevalent condition, particularly among elderly adults and women. In diastolic heart failure-or heart failure with normal ejection fraction-left ventricular systolic function is preserved. Although diastolic heart failure is clinically and radiographically indistinguishable from systolic heart failure, echocardiography can reveal a preserved ejection fraction with abnormal diastolic function. The present article reviews current medical concepts related to diastolic heart failure for medical practitioners, particularly primary care physicians, who play a vital role in the care of patients with heart failure. Treatment options, focusing on calcium channel blockers and angiotensin receptor blockers, are discussed. With early diagnosis and proper management, the prognosis of diastolic heart failure can be more favorable than that of systolic heart failure.
心力衰竭是一种高度常见的病症，在老年人和女性中尤为普遍。在舒张性心力衰竭（即射血分数正常的心力衰竭）中，左心室收缩功能得以保留。尽管舒张性心力衰竭在临床和影像学上与收缩性心力衰竭无法区分，但超声心动图可显示射血分数正常而舒张功能异常。本文为医学从业者，尤其是在心力衰竭患者护理中发挥关键作用的初级保健医生，综述了与舒张性心力衰竭相关的当前医学概念。文中讨论了以钙通道阻滞剂和血管紧张素受体阻滞剂为重点的治疗选择。通过早期诊断和恰当管理，舒张性心力衰竭的预后可能比收缩性心力衰竭更为乐观。
