Tereshchenko S N, Zhirov I V
Ter Arkh. 2009;81(11):73-6.
The paper discusses the problem of chronic heart failure (CHF) in left ventricular diastolic dysfunction - diastolic heart failure (DHF). It considers whether DHF is an independent phenotype or nothing more than a step in the development of systolic heart failure. The results of a number of studies evaluating the efficiency of treatment for DHF with angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, spironolactone, and beta-blockers are given. It is concluded that diastolic dysfunction should be necessarily kept in mind on examining patients with CHF.
本文讨论了左心室舒张功能障碍——舒张性心力衰竭（DHF）中的慢性心力衰竭（CHF）问题。探讨了DHF是一种独立的表型，还是仅仅是收缩性心力衰竭发展过程中的一个阶段。文中给出了多项评估血管紧张素转换酶抑制剂、血管紧张素II受体阻滞剂、螺内酯和β受体阻滞剂治疗DHF疗效的研究结果。得出的结论是，在检查CHF患者时必须考虑舒张功能障碍。
