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Diastolic heart failure, also known as heart failure with preserved ejection fraction (HFpEF), is a condition in which your heart’s main pumping chamber (left ventricle) becomes stiff and unable to fill properly. Diastolic heart failure is one of two kinds of left-sided heart failure.
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As demonstrated by AlJaroudi et al, echo-Doppler progression of diastolic dysfunction can detect LV dysfunction at an early stage and indicates increased risk for future events. This is a fertile area for continued important advances.
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Systolic function is conveniently (although not always accurately) measured as the ejection fraction (EF), calculated as stroke volume divided by end-diastolic volume. 1 The LV EF is easily interpreted. The lower limit of normal is ≈50%. The lower the EF is, the greater the reduction in systolic function.
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