Is isolated diastolic heart failure truly stand alone?

Isolated diastolic hypotension and incident heart failure in older adults.

Aging is often associated with increased systolic blood pressure and decreased diastolic blood pressure. Isolated systolic hypertension or an elevated systolic blood pressure without an elevated diastolic blood pressure is a known risk factor for incident heart failure in older adults. In the current study, we examined whether isolated diastolic hypotension, defined as a diastolic blood pressur...

Diastolic Heart Failure

Diastolic heart failure.

to the editor: Zile et al. (May 6 issue) 1 conclude that heart failure develops in patients with a normal ejection fraction because of abnormal active and passive diastolic function. However, the applicability of this conclusion to all such patients is uncertain for several reasons. First, accurate assessment of left ventricular volume, on which the conclusions critically depend, requires a thr...

Diastolic heart failure.

Defining diastolic heart failure.

The diagnosis of diastolic heart failure suggested by Vasan and Levy1 and Grossman,2 as definite, probable, or possible, presently hinges on the demonstration of diastolic left ventricular (LV) dysfunction at cardiac catheterization or echocardiography. It is likely that a far simpler measure, which is based on an analysis of the arterial pulse measured noninvasively, can be used. The studies o...