European Heart Journal Advance Access published online on September 21, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm412
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
How to diagnose diastolic heart failure—a consensus statement
Department of Fysiologi og Biomedisinsk Tekn, Medisinsk Fakultet, NTNU, Trondheim 7005, Norway
* Corresponding author. Tel: +34 972 660871. E-mail address: livhatle@eresmas.net
This editorial refers to ‘How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology’ by W. J. Paulus et al., doi:10.1093/eurheartj/ehm037
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With the increasing incidence of heart failure due mainly to diastolic dysfunction, a consensus statement on how to diagnose diastolic heart failure is clearly important. The paper by Paulus and co-authors represents a significant effort.1 It contains a detailed discussion on whether diastolic heart failure represents a separate entity, or whether it is an early stage where systolic function is only mildly impaired, but with later progression to more severe dysfunction. Newer information on possible mechanisms for the diastolic dysfunction is discussed, and there is clearly more to be learned in this area. However, it is not easy to see diastolic heart failure as a separate single entity when several different diseases can result in cardiac involvement with predominantly diastolic dysfunction.
In the paper, the authors have chosen to replace the term diastolic heart failure with the term HFNEF [heart failure with normal left ventricular (LV) ejection fraction (EF)], citing
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Related articles in EHJ:
- How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology
- Walter J. Paulus, Carsten Tschöpe, John E. Sanderson, Cesare Rusconi, Frank A. Flachskampf, Frank E. Rademakers, Paolo Marino, Otto A. Smiseth, Gilles De Keulenaer, Adelino F. Leite-Moreira, Attila Borbély, István Édes, Martin Louis Handoko, Stephane Heymans, Natalia Pezzali, Burkert Pieske, Kenneth Dickstein, Alan G. Fraser, and Dirk L. Brutsaert
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