Disfuncția diastolică a ventriculului stâng și insuficiența cardiacă cu fracția de ejecție păstrată la vârstnici
DOI:
https://doi.org/10.52692/1857-0011.2022.1-72.20Cuvinte cheie:
Insuficiență cardiacă congestivă, funcție sistolică a ventriculului stâng, funcție diastolicăRezumat
Insuficiența cardiacă cu fracția de ejecție păstrată este denumită „insuficiență cardiacă diastolică” și este mai răspândită în rândul vârstnicilor, mai frecventă la femei. Prognosticul pacienților cu insuficiență cardiacă congestivă din cauza disfuncției diastolice este mai favorabil, decât la pacienții cu disfuncție sistolică, însă morbiditatea rămâne ridicată cu eșecuri în tratament și respitalizări frecvente. Astfel, diagnosticul de insuficiență cardiacă cu fracție de ejecție păstrată (ICpEF) la vârstnici (≥ 85 de ani) este unul complicat și reprezintă o provocare la pacienții euvolemici cu dispnee, din motivul lipsei criteriilor bazate pe dovezi. Disfuncția diastolică a VS este un parametru frecvent (58%), dar fără nicio specificitate pentru ICpEF, abordarea acesteia ar trebui să fie concentrată pe etiologia bolii de bază, precum și pe tulburarea funcției diastolice ventriculare stângi.
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