THE NATURAL-HISTORY OF ISOLATED LEFT-VENTRICULAR DIASTOLIC DYSFUNCTION

被引:77
作者
BROGAN, WC
HILLIS, LD
FLORES, ED
LANGE, RA
机构
[1] UNIV TEXAS,SW MED CTR,DEPT INTERNAL MED,DIV CARDIOVASCULAR,ROOM CS 7 102,DALLAS,TX 75235
[2] PARKLAND MEM HOSP & AFFILIATED INST,CARDIAC CATHETERIZAT LAB,DALLAS,TX 75235
关键词
D O I
10.1016/0002-9343(92)90781-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
STUDY OBJECTIVE: To assess the natural history of isolated left ventricular diastolic dysfunction. PATIENTS AND METHODS: Follow-up (average duration, 68 months) was obtained in 51 patients with isolated left ventricular diastolic dysfunction at cardiac catheterization, characterized by (1) an elevated left ventricular end-diastolic pressure; (2) normal left ventricular end-diastolic and end-systolic volumes; (3) normal left ventricular ejection fraction; (4) no coronary artery disease; and (5) no valvular disease. RESULTS: During follow-up, seven patients died, but only one died of cardiac causes. Of the 44 living subjects, 20 (45%) noted new-onset symptoms of congestive heart failure, with 11 (25%) of these requiring hospitalization, and 12 (27%) required hospitalization for recurrent chest pain. CONCLUSIONS: Isolated left ventricular diastolic dysfunction is associated with a low cardiac mortality, at the same time, however, it is associated with substantial morbidity.
引用
收藏
页码:627 / 630
页数:4
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