MELUZÍN, Jaroslav, Zdeňka GREGOROVÁ, Monika ŠPINAROVÁ a Roman PANOVSKÝ. Can we diagnose isolated, exercise-induced heart failure with normal ejection fraction? Biomedical Papers of the Faculty of Medicine of Palacký University. Olomouc: Palacký University, 2015, roč. 159, č. 4, s. 513-518. ISSN 1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2014.066. |
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@article{1322343, author = {Meluzín, Jaroslav and Gregorová, Zdeňka and Špinarová, Monika and Panovský, Roman}, article_location = {Olomouc}, article_number = {4}, doi = {http://dx.doi.org/10.5507/bp.2014.066}, keywords = {exercise echocardiography; left ventricular filling pressure; heart failure with normal ejection fraction}, language = {eng}, issn = {1213-8118}, journal = {Biomedical Papers of the Faculty of Medicine of Palacký University}, title = {Can we diagnose isolated, exercise-induced heart failure with normal ejection fraction?}, volume = {159}, year = {2015} }
TY - JOUR ID - 1322343 AU - Meluzín, Jaroslav - Gregorová, Zdeňka - Špinarová, Monika - Panovský, Roman PY - 2015 TI - Can we diagnose isolated, exercise-induced heart failure with normal ejection fraction? JF - Biomedical Papers of the Faculty of Medicine of Palacký University VL - 159 IS - 4 SP - 513-518 EP - 513-518 PB - Palacký University SN - 12138118 KW - exercise echocardiography KW - left ventricular filling pressure KW - heart failure with normal ejection fraction N2 - Background. A significant proportion of patients with exertional dyspnea require exercise to diagnose heart failure with normal ejection fraction (HFNEF). Methods and Results. In this review article, we evaluate current data on the prevalence, clinical significance and specifically the establishment of a diagnosis of isolated, exercise-induced HFNEF. Despite the unquestioned clinical importance and high prevalence of exercise-induced HFNEF, there are limited and conflicting data on making a diagnosis of exercise-induced HFNEF. This mostly relies on the evidence of exercise-induced elevation in left ventricular filling pressure (LVFP). At present, there is no agreement on the ability of exercise echocardiographic parameteres to predict exercise-induced LVFP elevation. In addition, even invasively measured exercise LVFP faces the problem of defining normal exercise LVFP values. More data and probably new diagnostic approaches are necessary to reliably diagnose exercise HFNEF. Conclusions. There are conflicting results and significant problems associated with the diagnosis of exercise HFNEF. This review hopefully will encourage further research in this difficult but clinically important area of heart failure. ER -
MELUZÍN, Jaroslav, Zdeňka GREGOROVÁ, Monika ŠPINAROVÁ a Roman PANOVSKÝ. Can we diagnose isolated, exercise-induced heart failure with normal ejection fraction? \textit{Biomedical Papers of the Faculty of Medicine of Palacký University}. Olomouc: Palacký University, 2015, roč.~159, č.~4, s.~513-518. ISSN~1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2014.066.
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