Can we diagnose isolated, exercise-induced heart failure with
normal ejection fraction?

J 2015

Can we diagnose isolated, exercise-induced heart failure with normal ejection fraction?

MELUZÍN, Jaroslav, Zdeňka GREGOROVÁ, Monika ŠPINAROVÁ a Roman PANOVSKÝ

Základní údaje

Originální název

Can we diagnose isolated, exercise-induced heart failure with normal ejection fraction?

Autoři

MELUZÍN, Jaroslav (203 Česká republika, garant, domácí), Zdeňka GREGOROVÁ (203 Česká republika, domácí), Monika ŠPINAROVÁ (203 Česká republika, domácí) a Roman PANOVSKÝ (203 Česká republika, domácí)

Vydání

Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Palacký University, 2015, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.924

Kód RIV

RIV/00216224:14110/15:00085449

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.5507/bp.2014.066

UT WoS

000366566700001

Klíčová slova anglicky

exercise echocardiography; left ventricular filling pressure; heart failure with normal ejection fraction

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 8. 4. 2016 09:12, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

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.

Citovat

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.

@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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