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Published in: The Ultrasound Journal 1/2018

Open Access 01-12-2018 | Short communication

Diagnosis of diastolic dysfunction in the emergency department: really at reach for minimally trained sonologists? A call for a wise approach to heart failure with preserved ejection fraction diagnosis in the ER

Authors: Gabriele Via, Guido Tavazzi

Published in: The Ultrasound Journal | Issue 1/2018

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Excerpt

In developed countries heart failure represents a heavy epidemiological burden, with a prevalence of 1–2% of the adult population, rising to ≥ 10% among people with > 70 years of age [1, 2]. Diastolic heart failure (Heart Failure with preserved Ejection Fraction, HFpEF [2]) accounts for a relevant proportion of all HF admissions, ranging from 22 to 70% according to its definition, setting, population age and sex, with the highest prevalence in the elderly. Furthermore, among people > 65 years of age presenting to primary care with breathlessness on exertion, one in six will have unrecognized HF (mainly HFpEF) [3]. In patients with HFpEF, there is a strong association between prognosis and the underlying heart failure etiology, but overall mortality is estimated as high as 5–10% [4]. These data overall compel an accurate and early diagnostic strategy for HFpEF since its presentation in the emergency department, and early bedside ultrasound undoubtedly has the potential to comply with this need [5]. …
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Metadata
Title
Diagnosis of diastolic dysfunction in the emergency department: really at reach for minimally trained sonologists? A call for a wise approach to heart failure with preserved ejection fraction diagnosis in the ER
Authors
Gabriele Via
Guido Tavazzi
Publication date
01-12-2018
Publisher
Springer Milan
Published in
The Ultrasound Journal / Issue 1/2018
Electronic ISSN: 2524-8987
DOI
https://doi.org/10.1186/s13089-018-0107-2

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