Heart failure with preserved systolic function: A different natural history?

Michele Senni, Margaret May Redfield

Research output: Contribution to journalArticle

234 Citations (Scopus)

Abstract

Three well-controlled epidemiology studies in the U.S. have reported that 40% of incident congestive heart failure (CHF) cases and 50% to 60% of prevalent CHF cases occur in the setting of preserved systolic function. This condition has been termed "diastolic heart failure" (DHF). Despite minor differences in the types of populations examined, these community-based studies have established DHF as a major health problem in the U.S., particularly among the elderly. Although extensive data are available concerning the natural history of CHF associated with reduced systolic dysfunction (systolic heart failure; SHF), the natural history of DHF is not well-characterized. Indeed, it remains unclear whether patients with DHF share the grim prognosis described for patients with SHF. In this review we examine the available studies comparing survival observed in patients with DHF to that observed in patients with SHF. Although there are insufficient data at present to make definitive conclusions, careful examination of the available studies raises the possibility that the natural history of patients with DHF may not be different from that observed in patients with CHF and reduced systolic function.

Original languageEnglish (US)
Pages (from-to)1277-1282
Number of pages6
JournalJournal of the American College of Cardiology
Volume38
Issue number5
DOIs
StatePublished - Nov 1 2001

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Diastolic Heart Failure
Natural History
Heart Failure
Systolic Heart Failure
Epidemiology
Survival
Health
Population

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Heart failure with preserved systolic function : A different natural history? / Senni, Michele; Redfield, Margaret May.

In: Journal of the American College of Cardiology, Vol. 38, No. 5, 01.11.2001, p. 1277-1282.

Research output: Contribution to journalArticle

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