Isolated diastolic heart failure as a cause of breathlessness in the community: the Arbroath study

被引：13

作者：

MacFadyen, RJ

MacLeod, CM

Shiels, P

Smith, WR

MacDonald, TM

机构：

[1] Univ Dundee, Ninewells Hosp & Med Sch, Dept Clin Pharmacol & Therapeut, Dundee DD1 9SY, Scotland

[2] Univ Dundee, Ninewells Hosp & Med Sch, Dept Cardiol, Dundee DD1 9SY, Scotland

[3] Univ Dundee, Ninewells Hosp & Med Sch, Med Monitoring Unit, Dundee DD1 9SY, Scotland

[4] Med Ctr, Arbroath, Scotland

来源：

EUROPEAN JOURNAL OF HEART FAILURE | 2001年 / 3卷 / 02期

关键词：

community-managed breathlessness; diagnoses; impaired exercise capacity; diastole heart failure;

D O I：

10.1016/S1388-9842(00)00153-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The aim of this study was to examine the prevalence of exercise limitation due to diastolic heart failure among patients felt to have cardiac breathlessness by their general medical practitioner but not referred to hospital. We found that 18% of patients had a simple investigated profile compatible with isolated diastolic dysfunction as a cause of their symptoms. Symptoms appeared to pre-date major cardiac events (infarction; stroke; arrhythmia) that dominated the subsequent clinical course. The patients in this group have adverse cardiovascular risk profiles. Obesity was a common co-morbidity which may impair detailed 2-D echocardiographic assessment. (C) 2001 European Society of Cardiology. All rights reserved.

引用

页码：243 / 248

页数：6

共 15 条

[1] Body-mass index and mortality in a prospective cohort of US adults [J].