Dtsch Med Wochenschr 2006; 131(47): 2672-2674
DOI: 10.1055/s-2006-956274
Kommentar | Commentary
Kardiologie
© Georg Thieme Verlag KG Stuttgart · New York

Diastolische Herzinsuffizienz - Was ein „Nicht-Kardiologe” darüber wissen sollte

Diastolic heart failure - what a „non-cardiologist” should knowA. Germing1 , A. Mügge1
  • 1Herzzentrum der Kliniken der Ruhr-Universität Bochum, Standort Bergmannsheil
Further Information

Publication History

Publication Date:
16 November 2006 (online)

Bereits 1937 unterschied Fishberg [6] in seinem Lehrbuch Heart Failure zwei Formen der Herzinsuffizienz: „.those forms of cardiac insufficiency which are due to inadequate diastolic filling of the heart..(and) the far more common ones in which the heart fills adequately but does not empty to the normal extent”. Beide Formen der Herzinsuffizienz, diastolisch und systolisch, bewirken eine reduzierte Auswurfleistung mit dem Leitsymptom Belastungsdyspnoe. Es bestehen jedoch fundamentale Unterschiede nicht nur in der Pathophysiologie, sondern es handelt sich um zwei unterschiedliche Syndrome mit eigener Epidemiologie, Diagnostik, klinischen Verlauf und auch Therapie [22] [23].

Literatur

  • 1 Ahmed A, Rich M W, Glef J L. et al . Effects of Digoxin on Morbidity and Mortality in Diastolic Heart Failure.  Circulation. 2006;  114 397-403
  • 2 Abhayaratna W P, Marwick T H, Smith W T, Becker N G. Characteristics of left ventricular dysfunction in the community: an echocardiographic survey. Heart; online publiziert. 17. März 2006 2006
  • 3 Bess R L, Khan S, Rosman H S. et al . Technical aspects of diastology: why mitral inflow and tissue Doppler imaging are the preferred parameters?.  Echocardiography. 2006;  23 332-339
  • 4 Burgess M I, Jenkins C, Sharman J E, Marwick T H. Diastolic stress echocardiography: hemodynamic vadidation and clinical significance of estimation of ventricular filling pressure with exercise.  J Am Coll Cardiol. 2006;  47 1891-1900
  • 5 Erbel R, Neumann T, Zeidan Z. et al . Echokardiographische Diagnostik der diastolischen Herzinsuffizienz.  Herz. 2002;  27 99-106
  • 6 Fishberg A M. Heart Failure. Philadelphia, Lea & Febiger 1937
  • 7 Grossmann W. Defining diastolic dysfunction.  Circulation. 2000;  101 2021-2022
  • 8 Kass D A. Assessment of diastolic dysfunction: invasive modalities.  Cardiol Clin. 2000;  18 571-586
  • 9 Katz A M, Zile M R. New molecular mechanism in diastolic heart failure (editorial).  Circulation. 2006;  113 1922-1925
  • 10 Klapholz M, Maurer M, Lowe A M. et al . Hospitalization for heart failure in the presence of a normal left ventricular ejection fraction.  J Am Coll Cardiol. 2004;  43 1432-1438
  • 11 Mottram P M, Marwick T H. Assessment of diastolic function: what the general cardiologist needs to know.  Heart. 2005;  91 681-695
  • 12 Nishimura R A, Tajik A J. Evaluation of diastolic filling of left ventricle in health and disease.  J Am Coll Cardiol. 1997;  30 8-18
  • 13 Oh J K, Hatle L, Tajik A J, Little W C. Diastolic heart failure can be diagnosed by comprehensive two-dimensional and Doppler echocardiography.  J Am Coll Cardiol. 2006;  47 500-506
  • 14 Olson J J, Costa S P, Young C E, Palac R T. Early mitral filling/diastolic mitral annular velocity ratio is not a reliable predictor of left ventricular filling pressure in the setting of severe mitral regurgitation.  J Am Soc Echocardiogr. 2006;  19 83-87
  • 15 Petrie M C, Hogg K, Caruana L, McMurray J JV. Poor concordance of commonly used echocardiographic measures of left ventricular diastolic function in patients with suspected heart failure but preserved systolic function: is there a reliable echocardiographic measure of diastolic dysfunction?.  Heart. 2004;  90 511-517
  • 16 Schmidt A G, Pieske B. Diastolische Herzinsuffizienz - Diagnostik.  Dtsch Med Wochenschr. 2005;  130 1208-1212
  • 17 Schmidt A G, Pieske B. Diastolische Herzinsuffizienz - Therapie.  Dtsch Med Wochenschr. 2005;  130 1213-6
  • 18 The European Study Group on Diastolic Heart Failure . How to diagnose diastolic heart failure.  Eur Heart J. 1998;  19 990-1003
  • 19 Thomas M D, Fox K F, Wood D A. et al . Echocardiographic features and brain natriuretic peptides in patients presenting with heart failure and preserved systolic function.  Heart. 2006;  92 603-608
  • 20 Yusuf  S, Pfeffer M A, Swedberg K. et al . Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction: the CHARM-Preserved Trial.  Lancet. 2003;  362 777-781
  • 21 Zile M R, Baicu C F, Gaasch W H. Diastolic heart failure - abnormalities in active relaxation and passive stiffness of the left ventricle.  N Engl J Med. 2004;  350 1953-1959
  • 22 Zile M R, Brutsaert D L. New concepts in diastolic dysfunction and diastolic heart failure. Part I: diagnosis, prognosis, and measurement of diastolic dysfunction.  Circulation. 2002;  105 1387-1393
  • 23 Zile M R, Brutsaert D L. New concepts in diastolic dysfunction and diastolic heart failure. Part II: causal mechanisms and treatment.  Circulation. 2002;  105 1503-1508

Prof. Dr. med. Andreas Mügge

Bergmannsheil

Bürkle-de-la-Camp Platz 1

44789 Bochum

Email: andreas.muegge@rub.de

    >