Isolated diastolic heart failure as a cause of breathlessness in the community: The Arbroath study

Robert J. MacFadyen, Catherine M. MacLeod, Paul Shiels, W. Russell Smith, Thomas M. MacDonald

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    15 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)243-248
    Number of pages6
    JournalEuropean Journal of Heart Failure
    Volume3
    Issue number2
    DOIs
    Publication statusPublished - 1 Jan 2001

    Keywords

    • Community-managed breathlessness
    • Diagnoses
    • Diastolic heart failure
    • Impaired exercise capacity

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine

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