Vasan R S, Benjamin E J, Levy D
Framingham Heart Study, Mass, USA.
Arch Intern Med. 1996 Jan 22;156(2):146-57.
The syndrome of congestive heart failure with preserved left ventricular systolic function is common in clinical practice. The signs and symptoms of the disorder are similar to those of congestive heart failure with left ventricular systolic dysfunction, underscoring a need for routine evaluation of left and right ventricular systolic function in patients with congestive heart failure. The syndrome may be related to anatomic abnormalities that increase the resistance to ventricular filling, or to physiologic abnormalities of myocardial relaxation or compliance. Advancing age, often in association with hypertension, coronary artery disease, tachycardia, and atrial fibrillation, is commonly associated with the disorder. Randomized controlled clinical trials are needed to evaluate the efficacy of various therapeutic agents in reducing the risks associated with diastolic heart failure.
左心室收缩功能保留的充血性心力衰竭综合征在临床实践中很常见。该病症的体征和症状与左心室收缩功能障碍的充血性心力衰竭相似，这突出表明对充血性心力衰竭患者进行左、右心室收缩功能常规评估的必要性。该综合征可能与增加心室充盈阻力的解剖学异常有关，或与心肌舒张或顺应性的生理学异常有关。年龄增长，通常与高血压、冠状动脉疾病、心动过速和心房颤动相关，常与该病症有关。需要进行随机对照临床试验来评估各种治疗药物在降低舒张性心力衰竭相关风险方面的疗效。
