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

Research output: Contribution to journalArticlepeer-review

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

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