Heart failure from diastolic dysfunction related to hypertension: guidelines for management.
OBJECTIVE
To provide advanced practice nurses with a greater understanding of the pathophysiology, diagnostics, and management of diastolic dysfunction resulting from hypertension.


METHODS
Electronic database searches were performed using Medline and CINAHL. Data were obtained from medical textbooks and research and review articles.


CONCLUSIONS
As the number of older adults with heart failure (HF) continues to increase, so will the need for effective care and guidance. In addition to further testing of appropriate pharmacologic regimens, adherence factors such as medication costs and patients' functional abilities must be considered.


CONCLUSIONS
HF resulting from diastolic dysfunction has emerged as a separate entity over the past 10-15 years. One of the most common causes of diastolic dysfunction is uncontrolled hypertension. Populations at greatest risk include elders, particularly women, and African Americans.
Thomas-Kvidera
DeAnn
D
Minnesota Heart Clinic, Edina, USA. kviderakove@comcast.net
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D003971:Diastole; D004232:Diuretics / Q000627:therapeutic use; D004562:Electrocardiography; D006333:Heart Failure / Q000097:blood / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006347:Heart Sounds; D006801:Humans; D006973:Hypertension / Q000150:complications*; D017379:Hypertrophy, Left Ventricular / Q000209:etiology; D008487:Medical History Taking / Q000379:methods; D009722:Nurse Practitioners / Q000458:organization & administration; D024802:Nurse's Role; D009730:Nursing Assessment / Q000379:methods; D010353:Patient Education as Topic; D010808:Physical Examination / Q000379:methods / Q000451:nursing; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000379:methods* / Q000592:standards; D012307:Risk Factors
D000319:Adrenergic beta-Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors; D004232:Diuretics