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[Congestive heart failure with intact systolic function].

P Bareiss1, G Roul, A Facello

  • 1Service de cardiologie, CHRU de Strasbourg, hôpital de Hautepierre.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|March 1, 1991
PubMed
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Cardiac failure can occur with normal left ventricular systolic function. This condition, seen in 26% of patients, is more common in older females with acute heart failure and hypertension.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Congestive cardiac failure is a significant clinical syndrome.
  • Left ventricular systolic dysfunction is a common cause of heart failure.
  • Cardiac failure with preserved systolic function is increasingly recognized.

Purpose of the Study:

  • To determine the prevalence of cardiac failure with normal left ventricular systolic function.
  • To document underlying mechanisms of this condition.
  • To assess if clinical data can predict systolic dysfunction.

Main Methods:

  • Retrospective study of 152 congestive cardiac failure patients over 4 years.
  • Patients divided into two groups: abnormal (ejection fraction <45%) and normal (ejection fraction >=45%) systolic function.
  • Analysis of clinical, echocardiographic, and radionuclide angiographic data.

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Main Results:

  • 26% of patients had cardiac failure with normal left ventricular systolic function (Group II).
  • Group II patients were older, more often female, had acute cardiac failure, and were frequently hypertensive.
  • Increased jugular venous pressure and cardiomegaly were more common in patients with abnormal systolic function (Group I).

Conclusions:

  • Cardiac failure with normal left ventricular systolic function is prevalent.
  • Specific clinical characteristics are associated with normal systolic function in heart failure.
  • Further investigation into the mechanisms and predictors of this condition is warranted.