Diagnostic Dilemmas: Diastolic Heart Failure Causing Pulmonary Hypertension and Pulmonary Hypertension Causing Diastolic Dysfunction

Pulmonary Hypertension Complicating Systemic Hypertension, Is Diastolic Dysfunction the Culprit?

Background: Elevation in PA pressures has been observed by 2D echo in some but not all hypertensive patients. The mechanism and hemodynamic impact of pulmonary hypertension in these patients remains unclear. Methods: We reviewed echoes of all patients referred with systemic hypertension between 9/2006 to 5/2009 to identify those patients with left ventricular hypertrophy, normal systolic functi...

Contribution of ventricular diastolic dysfunction to pulmonary hypertension complicating chronic systolic heart failure.

OBJECTIVES The aim of the study is to clarify the clinical role of Doppler-echocardiographic parameters of left ventricular diastolic dysfunction (LVDD) as determinants of pulmonary hypertension in patients experiencing left ventricular systolic dysfunction (LVSD) with and without the presence of functional mitral valve regurgitation (FMR). BACKGROUND Pulmonary hypertension (pulmonary venous ...

Diastolic dysfunction as a link between hypertension and heart failure.

LVDD as an early measure of myocardial end-organ damage is commonly associated with hypertension and may well precede development of LVH in hypertension. About half of the patients presenting with heart failure have a normal ejection fraction, a clinical syndrome that is commonly referred to as HFPEF or diastolic heart failure and is commonly associated with impaired LV relaxation and increased...

Bochdalek hernia causing pulmonary hypertension.

Isolated diastolic dysfunction of right ventricle: stress-induced pulmonary hypertension.

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