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Heart Failure with Preserved Ejection Fraction

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Clinical Cases in Heart Failure

Part of the book series: Clinical Cases in Cardiology ((CCC))

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Abstract

A 62-year old male with a history of hypertension, diabetes mellitus, and prior tobacco use is referred to the clinic for evaluation of worsening dyspnea on exertion. He has had diabetes mellitus for >10 years managed on oral agents. He is also a former 30 pack-year smoker (quit 5 years earlier). His medical regimen includes aspirin, pravastatin, lisinopril, and glyburide.

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References

  1. Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2016;17:1321–60.

    Article  PubMed  Google Scholar 

  2. Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;62:e147–239.

    Article  PubMed  Google Scholar 

  3. Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2016;18:891–975.

    Article  PubMed  Google Scholar 

  4. Guazzi M, Myers J, Peberdy MA, Bensimhon D, Chase P, Arena R. Cardiopulmonary exercise testing variables reflect the degree of diastolic dysfunction in patients with heart failure-normal ejection fraction. J Cardiopulm Rehabil Prev. 2010;30:165–72.

    Article  PubMed  Google Scholar 

  5. Kitzman DW, Higginbotham MB, Cobb FR, Sheikh KH, Sullivan MJ. Exercise intolerance in patients with heart failure and preserved left ventricular systolic function: failure of the Frank-Starling mechanism. J Am Coll Cardiol. 1991;17:1065–72.

    Article  CAS  PubMed  Google Scholar 

  6. Maeder MT, Thompson BR, Brunner-La Rocca HP, Kaye DM. Hemodynamic basis of exercise limitation in patients with heart failure and normal ejection fraction. J Am Coll Cardiol. 2010;56:855–63.

    Article  PubMed  Google Scholar 

  7. Borlaug BA, Nishimura RA, Sorajja P, Lam CS, Redfield MM. Exercise hemodynamics enhance diagnosis of early heart failure with preserved ejection fraction. Circ Heart Fail. 2010;3:588–95.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Borlaug BA, Jaber WA, Ommen SR, Lam CS, Redfield MM, Nishimura RA. Diastolic relaxation and compliance reserve during dynamic exercise in heart failure with preserved ejection fraction. Heart. 2011;97:964–9.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Dorfs S, Zeh W, Hochholzer W, Jander N, Kienzle RP, Pieske B, Neumann FJ. Pulmonary capillary wedge pressure during exercise and long-term mortality in patients with suspected heart failure with preserved ejection fraction. Eur Heart J. 2014;35:3103–12.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Massachusetts General Hospital, Boston, MA, USA

    Danyaal S. Moin & Gregory Lewis

Authors
  1. Danyaal S. Moin
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  2. Gregory Lewis
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Correspondence to Danyaal S. Moin .

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Editors and Affiliations

  1. Department of Medicine and Cardiology , Massachusetts General Hospital , Boston, Massachusetts, USA

    Ravi V. Shah

  2. Providence VA Medical Center, Providence, Rhode Island, USA

    Siddique A. Abbasi

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Moin, D.S., Lewis, G. (2018). Heart Failure with Preserved Ejection Fraction. In: Shah, R., Abbasi, S. (eds) Clinical Cases in Heart Failure. Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-65804-9_8

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  • DOI: https://doi.org/10.1007/978-3-319-65804-9_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65803-2

  • Online ISBN: 978-3-319-65804-9

  • eBook Packages: MedicineMedicine (R0)

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