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Diastolic heart failure: a difficult problem in the elderly.

Prithwish Banerjee1, Andrew L Clark, John G F Cleland

  • 1Department of Cardiology, University of Hull, Castle Hill Hospital, Cottingham, Kingston upon Hull, HU16 5JQ, United Kingdom. pbanerjee@ukonline.co.uk

The American Journal of Geriatric Cardiology
|January 16, 2004
PubMed
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Diastolic heart failure (DHF) is common in elderly women with hypertension and has similar morbidity and costs to systolic heart failure. More research is needed for a reliable DHF definition and effective treatments.

Area of Science:

  • Cardiology
  • Geriatrics
  • Internal Medicine

Background:

  • Heart failure with normal systolic function is often termed diastolic heart failure (DHF).
  • DHF is increasingly recognized as a significant condition, particularly in elderly women with hypertension.
  • Epidemiologic studies indicate DHF accounts for 30%-50% of all heart failure cases.

Purpose of the Study:

  • To highlight the prevalence and clinical implications of diastolic heart failure.
  • To underscore the diagnostic and therapeutic challenges associated with DHF.
  • To emphasize the growing public health burden of DHF due to population aging.

Main Methods:

  • Review of recent epidemiologic studies on heart failure with normal systolic function.
  • Comparison of morbidity, hospitalization rates, and healthcare costs between DHF and heart failure with left ventricular systolic dysfunction.

Related Experiment Videos

  • Analysis of current diagnostic criteria and treatment strategies for DHF.

    • Main Results:

    • DHF prevalence is substantial, affecting 30%-50% of heart failure patients.
    • Morbidity, recurrent hospitalization rates, and healthcare costs for DHF are comparable to systolic heart failure.
    • Long-term mortality appears similar between DHF and systolic heart failure groups.

    Conclusions:

    • Diastolic heart failure poses a considerable and growing burden of disease, especially in aging populations.
    • Current diagnostic methods for DHF are often based on exclusion, and treatments remain empirical.
    • The lack of large-scale randomized controlled trials hinders definitive treatment strategies, though trials are ongoing.