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Home > West Medicine > Internal Medicine > Cardiology
I50.900x019

Diastolic Heart Failure

心内科

Common symptoms

下肢弥漫性水肿、呼吸困难、腹胀、收缩期杂音、肺淤血、逸搏出现、气急

The pathology of disease

Diastolic heart failure (HFpEF, EF>=50%) is heart failure due to impaired ventricular relaxation/compliance (diastolic dysfunction) with preserved systolic function, common in older women with HTN/diabetes/obesity. Clinical: dyspnea, edema, exercise intolerance. Treatment: treat HTN/ischemia/comorbidities (obesity/OSA/diabetes); diuretics for congestion; SGLT2 inhibitor; manage AF; avoid excessive preload reduction.

Common Symptoms

Dyspnea; edema; exercise intolerance; preserved EF; older women with HTN/DM/obesity

Causes and Pathogenesis

Stiff/noncompliant ventricle impairs diastolic filling, causing congestion despite normal EF.

Treatment

Treat HTN/comorbidities; diuretics; SGLT2i; manage AF; avoid excessive preload reduction

Preventive Measures

Control HTN/obesity/diabetes; treat OSA; manage AF.

Department to Visit

It is recommended to visit the Cardiology/Heart-failure department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.