Division of Cardiovascular and Pulmonary Diseases, Institute for Surgical Research, Oslo University Hospital, University of Oslo, Rikshospitalet, PO Box 4950 Nydalen, NO-0424 Oslo, Norway.
Section of Cardiovascular Imaging, Heart, Vascular and Thoracic Institute, Cleveland Clinic, OH, USA.
Eur Heart J Cardiovasc Imaging. 2024 Oct 30;25(11):1554-1565. doi: 10.1093/ehjci/jeae209.
This article reviews and discusses non-myocardial disorders that represent diagnostic challenges when evaluating patients for suspected heart failure with preserved left ventricular ejection fraction. This includes pre-capillary pulmonary hypertension, which is important to differentiate from post-capillary hypertension caused by left-sided heart disease. The impact of electrical disorders on LV diastolic function is also reviewed, and includes a discussion of left bundle branch, which has both a direct effect on LV diastolic function, as well as a long-term effect due to remodelling. Furthermore, evaluation of diastolic function in patients with atrial fibrillation is discussed. Pericardial diseases are reviewed as well as effects of a normal pericardium on diastolic function in failing hearts. Finally, the article reviews how valvular diseases impact LV diastolic function.
本文回顾并讨论了在评估疑似左心室射血分数保留的心力衰竭患者时存在诊断挑战的非心肌疾病。其中包括毛细血管前肺动脉高压，这对于区分由左心疾病引起的毛细血管后高血压很重要。本文还回顾了电异常对左心室舒张功能的影响，包括对左束支的讨论，左束支既对左心室舒张功能有直接影响，也因重构而产生长期影响。此外，还讨论了心房颤动患者的舒张功能评估。本文还回顾了心包疾病以及正常心包在心衰心脏中对舒张功能的影响。最后，文章还回顾了瓣膜疾病对左心室舒张功能的影响。
