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Diastolic Dysfunction: Case Overview
Diastolic dysfunction is a condition in which the heart's ventricles have difficulty relaxing and filling with blood during the diastolic phase of the cardiac cycle. It is often diagnosed through echocardiography, which can assess the filling patterns of the ventricles and detect abnormalities in diastolic function. Diastolic dysfunction can be graded from I to III, with increasing severity. Grade I is mild dysfunction, and Grade III is the most severe. Common causes include hypertension, aging, coronary artery disease, and conditions like diabetes and obesity. Patients may experience symptoms such as shortness of breath, fatigue, and fluid retention, similar to systolic heart failure. Management often includes controlling underlying conditions, optimizing blood pressure, and medications to improve diastolic function. The prognosis for diastolic dysfunction varies but is generally better than systolic heart failure, especially with early diagnosis and appropriate treatment. Patients with diastolic dysfunction require regular follow-up and monitoring to assess changes in cardiac function and adjust treatment as needed.
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Dr. Nikhilesh Jain
Director and Consultant Dept of Critical Care at CHL Hospitals
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