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Invasive Evaluation of Diastolic Left Ventricular Dysfunction

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Diastolic Heart Failure

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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.

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Author information

Authors and Affiliations

  1. Institute for Cardiovascular Research Vrije Universiteit (ICaR-VU), VU University Medical Center, Amsterdam, The Netherlands

    Loek van Heerebeek MD & Walter J. Paulus MD, PhD

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  1. Loek van Heerebeek MD
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  2. Walter J. Paulus MD, PhD
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Editor information

Editors and Affiliations

  1. Heart-Lung Clinic, Department of Cardiology Rikshospitalet, University of Oslo, Oslo, Norway

    Otto A. Smiseth MD, PhD (Professor of Medicine and Head) (Professor of Medicine and Head)

  2. 3rd Division of Cardiology, Medical University of Silesia, Katowice, Poland

    Michał Tendera MD, PhD (Professor of Medicine and Head) (Professor of Medicine and Head)

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© 2008 Springer-Verlag London Limited

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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

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-890-6

  • Online ISBN: 978-1-84628-891-3

  • eBook Packages: MedicineMedicine (R0)

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