TY - JOUR
T1 - Isolated diastolic heart failure as a cause of breathlessness in the community
T2 - The Arbroath study
AU - MacFadyen, Robert J.
AU - MacLeod, Catherine M.
AU - Shiels, Paul
AU - Smith, W. Russell
AU - MacDonald, Thomas M.
PY - 2001/1/1
Y1 - 2001/1/1
N2 - The aim of this study was to examine the prevalence of exercise limitation due to diastolic heart failure among patients felt to have cardiac breathlessness by their general medical practitioner but not referred to hospital. We found that 18% of patients had a simple investigated profile compatible with isolated diastolic dysfunction as a cause of their symptoms. Symptoms appeared to pre-date major cardiac events (infarction; stroke; arrhythmia) that dominated the subsequent clinical course. The patients in this group have adverse cardiovascular risk profiles. Obesity was a common co-morbidity which may impair detailed 2-D echocardiographic assessment.
AB - The aim of this study was to examine the prevalence of exercise limitation due to diastolic heart failure among patients felt to have cardiac breathlessness by their general medical practitioner but not referred to hospital. We found that 18% of patients had a simple investigated profile compatible with isolated diastolic dysfunction as a cause of their symptoms. Symptoms appeared to pre-date major cardiac events (infarction; stroke; arrhythmia) that dominated the subsequent clinical course. The patients in this group have adverse cardiovascular risk profiles. Obesity was a common co-morbidity which may impair detailed 2-D echocardiographic assessment.
KW - Community-managed breathlessness
KW - Diagnoses
KW - Diastolic heart failure
KW - Impaired exercise capacity
UR - http://www.scopus.com/inward/record.url?scp=0035100398&partnerID=8YFLogxK
U2 - 10.1016/S1388-9842(00)00153-7
DO - 10.1016/S1388-9842(00)00153-7
M3 - Article
C2 - 11246063
AN - SCOPUS:0035100398
VL - 3
SP - 243
EP - 248
JO - European Journal of Heart Failure
JF - European Journal of Heart Failure
SN - 1388-9842
IS - 2
ER -
