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Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
Diastolic heart failure. Diagnosis, prognosis, treatment
1Cardiology Division, Department of Medicine Gazes, Cardiac Research Institute, Medical University of South Carolina 29425, USA. zilem@musc.edu
Insights
Diastolic heart failure is common and increases mortality. Standardized diagnostic criteria and targeted treatments are emerging from recent clinical and experimental studies, addressing past controversies.
Area of Science:
- Cardiology
- Heart Failure Research
Background:
- Diastolic heart failure is a prevalent condition associated with significant morbidity and mortality.
- Controversies in terminology and diagnostic criteria have hindered clinical trial development for diastolic heart failure.
Purpose of the Study:
- To review diagnostic criteria for diastolic heart failure.
- To discuss the prognostic impact of diastolic heart failure.
- To outline current and emerging treatment approaches.
Main Methods:
- Review of recent clinical studies.
- Analysis of experimental research into disease mechanisms.
- Synthesis of data for diagnostic standardization.
Main Results:
- Emerging consensus on terminology and diagnostic criteria for diastolic heart failure.
- Increased understanding of the underlying mechanisms driving diastolic dysfunction.
- Development of targeted clinical trials for effective treatments.
Conclusions:
- Standardized diagnostic criteria are becoming available for diastolic heart failure.
- Clinical and experimental research is paving the way for targeted therapies.
- Addressing diagnostic controversies is crucial for advancing treatment options.
Abstract:
It is now abundantly clear that congestive heart failure caused by a predominant abnormality in diastolic function (i.e., diastolic heart failure) is common and causes a significant increase in morbidity and mortality. However, there is continued controversy surrounding the terminology used to describe patients with heart failure and the criteria used to make the diagnosis of diastolic heart failure. As a result, clinical therapeutic trials have been slow to develop and difficult to design. Fortunately, these controversies are yielding to an emerging consensus. Recent clinical studies have provided sufficient data to develop standardized diagnostic criteria to define diastolic heart failure. Experimental studies have provided increased insight into the mechanisms causing diastolic heart failure. Together, these clinical and experimental studies are being used to design targeted clinical trials to test effective treatments for diastolic heart failure. The purpose of this review is to describe the criteria used to diagnose diastolic heart failure, the effects of diastolic heart failure on prognosis, and approaches to treatment.
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