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Pre-clinical diastolic dysfunction.

Abstract：

:Pre-clinical diastolic dysfunction (PDD) has been broadly defined as left ventricular diastolic dysfunction without the diagnosis of congestive heart failure (HF) and with normal systolic function. PDD is an entity that remains poorly understood, yet has definite clinical significance. Although few original studies have focused on PDD, it has been shown that PDD is prevalent, and that there is a clear progression from PDD to symptomatic HF including dyspnea, edema, and fatigue. In diabetic patients and in patients with coronary artery disease or hypertension, it has been shown that patients with PDD have a significantly higher risk of progression to heart failure and death compared with patients without PDD. Because of these findings and the increasing prevalence of the heart failure epidemic, it is clear that an understanding of PDD is essential to decreasing patients' morbidity and mortality. This review will focus on what is known concerning pre-clinical diastolic dysfunction, including definitions, staging, epidemiology, pathophysiology, and the natural history of the disease. In addition, given the paucity of trials focused on PDD treatment, studies targeting risk factors associated with the development of PDD and therapeutic trials for heart failure with preserved ejection fraction will be reviewed.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Wan SH,Vogel MW,Chen HH

doi

10.1016/j.jacc.2013.10.063

subject

Has Abstract

pub_date

2014-02-11 00:00:00

pages

407-16

issue

5

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(13)06160-3

journal_volume

63

pub_type

杂志文章,评审

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