title: [Diagnosis of diastolic heart failure].
abstract: Fatigue and mainly dyspnea are symptoms the most often found in patients with diastolic heart failure. Flash pulmonary oedema is one of the most often found mode of clinical presentation. The heart has a normal size at chest X ray. Hemodynamic evaluation, the gold standard, shows increase in filling pressure but is not routinely performed. Doppler echocardiography has become the reference exam. It allows demonstrating: 1. the normal systolic function of the left ventricle (normal ejection fraction); 2. existence of a structural abnormality of the diastolic dysfunction; 3. calculating the level of pulmonary pressures. In the next years, it is likely that an increased plasma level of brain natriuretic peptide (BNP) becomes mandatory for a positive diagnosis.
authors.affiliation: Service de cardiologie Hôpital Beaujon 92110 Clichy. alain.cohen-solal@bjn.ap-hop-paris.fr
authors.forename: Alain
authors.initials: A
authors.lastname: Cohen-Solal
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Tartière
authors.forename: François
authors.initials: F
authors.lastname: Raoult
mesh_terms: D000465:Algorithms; D009320:Atrial Natriuretic Factor / Q000097:blood; D015415:Biomarkers / Q000097:blood; D003971:Diastole; D004417:Dyspnea / Q000209:etiology; D005221:Fatigue / Q000209:etiology; D006333:Heart Failure / Q000175:diagnosis*; D006801:Humans
chemical_list: D015415:Biomarkers; D009320:Atrial Natriuretic Factor