Distinguishing diastolic from systolic heart failure using echocardiography is essential for optimal management and prognosis.
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Supports echocardiographic distinction of systolic versus diastolic HF in practice; leaves open prospective validation of management impact.
Up to 40% of patients with heart failure have isolated diastolic dysfunction. With proper management, the prognosis is generally more favorable than in systolic dysfunction. Distinguishing diastolic from systolic dysfunction is essential since the optimal therapy for one condition may aggravate the other. New echocardiographic methods enable accurate diagnoses.
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Howard D. Weinberger (1999) studied this question.
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