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How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the.

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Presentation on theme: "How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the."— Presentation transcript:

1 How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology by Walter J. Paulus, Carsten Tschöpe, John E. Sanderson, Cesare Rusconi, Frank A. Flachskampf, Frank E. Rademakers, Paolo Marino, Otto A. Smiseth, Gilles De Keulenaer, Adelino F. Leite-Moreira, Attila Borbély, István Édes, Martin Louis Handoko, Stephane Heymans, Natalia Pezzali, Burkert Pieske, Kenneth Dickstein, Alan G. Fraser, and Dirk L. Brutsaert EHJ Volume 28(20): October 19, 2007 © The European Society of Cardiology All rights reserved. For Permissions, please

2 Heart failure: a single or two syndromes? Listing of arguments favouring heart failure to be a single or two distinct syndromes. Walter J. Paulus et al. Eur Heart J 2007;28: © The European Society of Cardiology All rights reserved. For Permissions, please

3 Diagnostic flowchart on ‘How to diagnose HFNEF’ in a patient suspected of HFNEF. LVEDVI, left ventricular end-diastolic volume index; mPCW, mean pulmonary capillary wedge pressure; LVEDP, left ventricular end-diastolic pressure; τ, time constant of left ventricular relaxation; b, constant of left ventricular chamber stiffness; TD, tissue Doppler; E, early mitral valve flow velocity; E′, early TD lengthening velocity; NT-proBNP, N-terminal-pro brain natriuretic peptide; BNP, brain natriuretic peptide; E/A, ratio of early (E) to late (A) mitral valve flow velocity; DT, deceleration time; LVMI, left ventricular mass index; LAVI, left atrial volume index; Ard, duration of reverse pulmonary vein atrial systole flow; Ad, duration of mitral valve atrial wave flow. Walter J. Paulus et al. Eur Heart J 2007;28: © The European Society of Cardiology All rights reserved. For Permissions, please

4 Diagnostic flow chart on ‘How to exclude HFNEF’ in a patient presenting with breathlessness and no signs of fluid overload. Walter J. Paulus et al. Eur Heart J 2007;28: © The European Society of Cardiology All rights reserved. For Permissions, please


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