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Heart failure from diastolic dysfunction related to hypertension: guidelines for management

DeAnn Thomas-Kvidera1

  • 1Minnesota Heart Clinic, Edina, USA. kviderakove@comcast.net

Journal of the American Academy of Nurse Practitioners
|April 28, 2005
PubMed

Insights

Diastolic dysfunction, often caused by hypertension, is increasingly impacting older adults with heart failure (HF). Effective management requires understanding pathophysiology, diagnostics, and considering patient adherence factors.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Geriatric Medicine

Background:

  • Heart failure (HF) in older adults is a growing concern.
  • Diastolic dysfunction is a significant contributor to HF, particularly in the elderly.
  • Uncontrolled hypertension is a primary cause of diastolic dysfunction.

Purpose of the Study:

  • To enhance advanced practice nurses' understanding of diastolic dysfunction.
  • To cover pathophysiology, diagnostics, and management strategies for hypertension-induced diastolic dysfunction.

Main Methods:

  • Literature review using Medline and CINAHL databases.
  • Inclusion of data from medical textbooks and research/review articles.

Main Results:

  • Diastolic dysfunction leading to HF has gained recognition as a distinct clinical entity.
  • Hypertension is a leading cause of diastolic dysfunction.
  • Elderly women and African Americans are identified as high-risk populations.

Conclusions:

  • The increasing prevalence of HF in older adults necessitates improved care strategies.
  • Pharmacologic treatments and adherence factors (cost, functional ability) are crucial for effective HF management.
  • Further research into pharmacologic regimens and adherence is warranted.
Abstract

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