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Assessing Diastolic Function as an Important Tool for Clinical Decision-making in Critically Ill Patients

Authors
 Jong Won Ha 
Citation
 Journal of Cardiovascular Imaging, Vol.28(3) : 165-173, 2020-07 
Journal Title
 Journal of Cardiovascular Imaging 
ISSN
 2586-7210 
Issue Date
2020-07
Keywords
Diastolic function ; Echocardiography ; Hemodynamics
Abstract
Diastolic dysfunction, which is increasingly seen as being influential in precipitating heart failure and determining prognosis, is often unrecognized. In elderly patients with high rates of comorbidities, determining whether symptoms are attributable to cardiac conditions or other coexisting comorbidities can be clinically challenging. Moreover, in hemodynamically unstable patients, real-time decisions regarding fluid status are critically important. With better understanding and assessment of diastolic function, physicians should be in a better position not only to diagnose diastolic dysfunction or heart failure, but also to manage it more effectively. To optimize this approach, assessing diastolic function at the time of hemodynamic compromise or symptomatic deterioration is essential. In this review, clinical implications of assessing left ventricular diastolic function and filling pressures in critically ill patients will be reviewed with case-based discussions to emphasize how information regarding left ventricular diastolic function and filling pressure can be used for correct diagnosis and proper management of these patients.
DOI
10.4250/jcvi.2020.0042
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Ha, Jong Won(하종원) ORCID logo https://orcid.org/0000-0002-8260-2958
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181435
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