Upon completion of the chapter, the reader will be able to:
- 1. Describe the underlying pathogenesis of diastolic heart failure.
- 2. Relate the underlying pathogenesis of diastolic heart failure to the clinical symptoms.
- 3. Select the appropriate currently available clinical tool to differentiate diastolic heart failure from systolic heart failure.
- 4. Assess the contribution of concomitant medical problems to the development or clinical presentation of diastolic heart failure.
- 5. Describe the clinical manifestations of diastolic heart failure.
- 6. Compare and contrast the clinical manifestations of diastolic heart failure with those of systolic heart failure.
- 7. Determine the desired outcomes of treatment in patients with diastolic heart failure.
- 8. Design a nonpharmacologic plan for the management of diastolic heart failure.
- 9. Debate the usefulness of digoxin in patients with diastolic heart failure.
- 10. Delineate the role of Î²-blockers, calcium channel blockers, angiotensin receptor blockers, and ACE inhibitors in patients with diastolic heart failure.
- 11. Recommend a pharmacologic treatment plan for a patient with diastolic heart failure.
- 12. Prepare a treatment plan for a patient with diastolic heart failure and atrial fibrillation.
- 13. Compare the pathophysiologic manifestations and clinical presentation of dilated cardiomyopathy with those of hypertrophic cardiomyopathy.
- 14. Evaluate patients with hypertrophic cardiomyopathy at high risk for sudden death, and select those who would benefit from receiving an implantable cardioverter-defibrillator.
- 15. Determine which patients with hypertrophic cardiomyopathy would benefit from surgical therapy.
- 16. Differentiate the dose of β-blockers when initiating treatment for hypertrophic cardiomyopathy compared with systolic heart failure.
- 17. Select the most appropriate calcium channel blocker when managing the patient with hypertrophic cardiomyopathy.
Heart failure (HF) may be caused by a primary abnormality in systolic function, diastolic function, or both. Making the distinction is important because ...