Abstract
According to the criteria proposed by the European Study Group on Diastolic Heart Failure, the diagnosis of diastolic heart failure (DHF) is based on the presence of a triad of signs or symptoms of congestive heart failure, a normal left ventricular (LV) ejection fraction, and objective evidence of diastolic LV dysfunction.1 Objective evidence of diastolic LV dysfunction can be obtained using invasive techniques or noninvasive imaging. Because of questionable sensitivity of noninvasive techniques such as Doppler mitral flow velocity measurements, some investigators proposed restricting the diagnosis of “definite” DHF only to those patients who had invasive evidence of diastolic LV dysfunction.2 Acquisition of objective evidence of diastolic LV dysfunction by invasive techniques therefore remains important. This objective evidence can consist of an assessment of LV relaxation kinetics or an assessment of LV diastolic distensibility. It requires use of high-fidelity tip-micromanometer catheters to measure LV cavity pressures and LV conductance catheters or LV angiograms to simultaneously measure LV cavity dimensions.
Keywords
- Diastolic Heart Failure
- Wall Thickness Relation
- Diastolic Left Ventricular
- Mitral Valve Opening
- Left Ventricular Stiffness
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References
European Study Group on Diastolic Heart Failure. How to diagnose diastolic heart failure. Eur Heart J 1998;19:990–1003.
Vasan RS, Levy D. Defining diastolic heart failure: a call for standardized diagnostic criteria. Circulation 2000;101:2118–2121.
Mirsky I. Assessment of passive elastic stiffness of cardiac muscle: mathematical concepts, physiological and clinical considerations, direction of future research. Prog Cardiovasc Dis 1976;18:277.
Hirota Y. A clinical study of left ventricular relaxation. Circulation 1980;62:756–763.
Weisfeldt ML, Scully HE, Frederiksen J, et al. Hemodynamic determinants of maximum negative dP/dt and periods of diastole. Am J Physiol 1974;227:613–621.
Gillebert TC, Lew WYW. Influence of systolic pressure profile on rate of left ventricular pressure fall. Am J Physiol 1991;261:H805–H813.
Paulus WJ, Heyndrickx GR, Buyl P, et al. Widerange load shift of combined aortic valvuloplasty-arterial vasodilation slows isovolumic relaxation of the hypertrophied left ventricle. Circulation. 1990;81:886–898.
Kumada T, Karliner JS, Pouleur H et al. Effects of coronary occlusion on early ventricular diastolic events in conscious dogs. Am J Physiol 1979;237:542–549.
Lew WYW, Rasmussen CM. Influence of nonuniformity on rate of left ventricular pressure fall in the dog. Am J Physiol 1989;256:H222–H232.
Skulstad H, Edvardsen T, Urheim S, et al. Postsystolic shortening in ischemic myocardium: active contraction or passive recoil? Circulation 2002;106:718–24.
Weiss JL, Frederiksen JW, Weisfeldt ML. Hemodynamic determinants of the time course of fall in canine left ventricular pressure. J Clin Invest 1976;58:751–776.
Martin G, Gimeno JV, Cosin J et al. Time constant of isovolumic pressure fall: new numerical approaches and significance. Am J Physiol 1984;247:H283–H294.
Yellin EL, Hori M, Yoran C, et al. Left ventricular relaxation in the filling and nonfilling intact canine heart. Am J Physiol 1986;250:H620–H629.
Ohtani M, Nikolic SD, Glantz SA. A new approach to in situ left ventricular volume clamping in dogs. Am J Physiol 1991;261:H1335–H13343.
Paulus WJ, Vantrimpont PJ, Rousseau MF. Diastolic function of the nonfilling human left ventricle. J Am Coll Cardiol 1992;20:1524–1532.
Yotti R, Bermejo J, Carlos Antoranz J, et al. Noninvasive method for assessing impaired diastolic suction in patients with dilated cardiomyopathy. Circulation 2005;112:2921–2929.
Rankin SJ, Arentzen CE, Ring WS, et al. The diastolic mechanical properties of the intact left ventricle. Fed Proc 1980;39:141–147.
Kass DA, Midei M, Brinker J et al. Influence of coronary occlusion during PTCA on end-systolic and end-diastolic pressure-volume relations in humans. Circulation 1990;81:447–460.
Applegate RJ. Load dependence of left ventricular diastolic pressure-volume relations during short-term coronary artery occlusion. Circulation 1991;83:661–673.
Pak PH, Maughan WL, Baughman KL, et al. Marked discordance between dynamic and passive diastolic pressure-volume relations in idiopathic hypertrophic cardiomyopathy. Circulation 1996;94:52–60.
Brutsaert DL, Rademakers FE, Sys SU et al. Analysis of relaxation in the evaluation of ventricular function of the heart. Prog Cardiovasc Dis 1985;28:143–163.
Rankin SJ, Arentzen CE, McHale PA, et al. Viscoelastic properties of the diastolic left ventricle in the conscious dog. Circ Res 1977;41:37–45.
Yamakado T, Takagi E, Okubo S, et al. Effects of aging on left ventricular relaxation in humans. Circulation 1997;95:917–923.
Little WC, Downes TR. Clinical evaluation of left ventricular diastolic performance. Prog Cardiovasc Dis 1990;32:273–290.
Gaasch WH. Passive elastic properties of the left ventricle. In Gaasch WH, LeWinter M, eds. Left Ventricular Diastolic Dysfunction and Heart Failure. Malvern, PA: Lea & Febiger, 1994:143–149.
Yettram AL, Grewal BS, Gibson DG, et al. Relation between intraventricular pressure and volume in diastole. Br Heart J 1990;64:304–308.
Hess OM, Ritter M, Schneider J, et al. Diastolic function in aortic valve disease: techniques of evaluation and postoperative changes. Herz 1984;9:288–296.
Krayenbuehl HP, Hess OM, Monrad ES, et al. Left ventricular myocardial structure in aortic valve disease before, intermediate and late after aortic valve replacement. Circulation 1989;79:744–55.
Villari B, Campbell SE, Hess OM, et al. Influence of collagen network on left ventricular systolic and diastolic function in aortic valve disease. J Am Coll Cardiol 1993;22:1477–1484.
Krayenbuehl HP, Hess OM, Ritter M, et al. Influence of pressure and volume overload on diastolic compliance. In Grossman W, Lorell BH, eds. Diastolic Relaxation of the Heart. Boston: Martinus Nijhoff, 1987:143–150.
Borbély A, van der Velden J, Papp Z, et al. Cardiomyocyte stiffness in diastolic heart failure. Circulation 2005;111:774–781.
Krayenbuehl HP, Villari B, Campbell SE, et al. Diastolic dysfunction in chronic pressure and volume overload. In Grossman W, Lorell BH, eds. Diastolic Relaxation of the Heart. Boston: Martinus Nijhoff, 1994:283–288.
Bourdillon PD, Lorell BH, Mirsky I, et al. Increased regional myocardial stiffness of the left ventricle during pacing-induced angina in man. Circulation 1983;67:316–323.
Paulus WJ, Grossman W, Serizawa T, et al. Different effects of two types of ischemia on myocardial systolic and diastolic function. Am J Physiol 1985;248:H719–H728.
Bronzwaer JG, de Bruyne B, Ascoop CA, et al. Comparative effects of pacing-induced and balloon coronary occlusion ischemia on left ventricular diastolic function in man. Circulation 1991;84:211–222.
Bronzwaer JG, Heymes C, Visser CA, et al. Myocardial fibrosis blunts nitric oxide synthase-related preload reserve in human dilated cardiomyopathy. Am J Physiol 2003;284:H10–H16.
Bronzwaer JG, Zeitz C, Visser CA, et al. Endomyocardial nitric oxide synthase and the hemodynamic phenotypes of human dilated cardiomyopathy and of athlete’s heart. Cardiovasc Res 2002;55:270–278.
Pasipoularides A, Mirsky I, Hess OM, et al. Myocardial relaxation and passive diastolic properties in man. Circulation 1986;74:991–1001.
Sys SU, Paulus WJ, Claes VA, et al. Post-reextension force decay of relaxing cardiac muscle. Am J Physiol 1987;253:H256–H261.
Kass DA, Bronzwaer JGF, Paulus WJ. What me chanisms underlie diastolic dysfunction in heart failure? Circ Res 2004;94:1533–1542.
Zile MR, Baicu CF, Gaasch WH. Diastolic heart failure — abnormalities in active relaxation and passive stiffness of the left ventricle. N Engl J Med 2004;350:1953–1959.
Smiseth OA. Assessment of ventricular diastolic function. Can J Cardiol 2001;17:1167–1176.
Lubien E, DeMaria A, Krishnaswamy P, et al. Utility of B-natriuretic peptide in detecting diastolic dysfunction: comparison with Doppler velocity recordings. Circulation 2002;105:595–601.
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van Heerebeek, L., Paulus, W.J. (2008). Invasive Evaluation of Diastolic Left Ventricular Dysfunction. In: Smiseth, O.A., Tendera, M. (eds) Diastolic Heart Failure. Springer, London. https://doi.org/10.1007/978-1-84628-891-3_9
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DOI: https://doi.org/10.1007/978-1-84628-891-3_9
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