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Diastolic Heart Failure And Related Questions

What is diastolic heart failure? What is the treatment and medication required for diastolic heart failure? Most types of heart failures are chronic requiring lifelong management. However, based on the signs and symptoms, appropriate treatment can improve and make the situation better and sometimes the heart stronger. Similarly, diastolic heart failure is caused due to certain underlying causes but can be dealt with and managed. Verified cardiac Experts online have provided input on various questions related to this condition to help gain a better understanding.

Read below for questions medical Experts have answered.

What is diastolic heart failure?

This is a condition where the heart chambers are not filling completely with blood because the heart is unable to relax properly. A hypertrophied heart gets enlarged in size due to unchecked hypertension, reducing available space within the chambers for blood to accumulate. When the heart beats fast, it does not have sufficient time to re-fill and pump blood. Generally, the common diseases that cause diastolic heart failure are high blood pressure, cardiomyopathies, diabetes, narrowing of blood vessels, obesity and age.

What is the treatment and medication for diastolic heart failure?

Typically, treatment depends on the cause. For example: if high blood pressure is the cause, first that should be treated. If diabetes is present, it should be brought under control. For most people, the treatment of heart failure involves a balance of the right medications. The patient is often put on a combination of medication to reduce blood pressure, and maximize cardiac output. This is typically, a calcium channel blocker or a beta blocker such as Metoprolol and an ACE inhibitor such as Lisinopril. These drugs have been shown to have a positive effect in reducing progressive deterioration. The other line of treatment options for diastolic heart failure is nitroglycerin or Imdur as they can help with the venous return, thereby with diastolic filling. In cases where the ankles and feet are swollen accompanied with a burning feeling, it can be addressed by increasing the diuretic dosage and addition of nitrates.

Are there specific systolic and diastolic readings of blood pressure that is indicative of diastolic heart failure?

A diastolic heart failure is essentially a condition where the heart does not fill correctly leading to improper change in blood pressure. Typically, any elevation in both systolic and diastolic readings can lead to heart failure. Blood pressure also drops if the failure is severe. However, there is no specific finding that can reliably predict that a diastolic dysfunction situation can occur.

What is the mortality rate for diastolic heart failure at 60 years of age?

In primary diastolic heart failure, mortality is dependent on many factors and important determinants for long-term prognosis. Some of them are as follows:

  1. age
  2. diabetes
  3. clinical severity of heart failure
  4. degree of LV hypertrophy
  5. myocardial ischemia resulting from coronary artery disease (CAD)
  6. other common conditions such as kidney failure

Based on the studies, the annual mortality is between 4-5%. This signifies that 25% of the people with this condition can live for five years, while 50% can live for 10 years.

What are the long-term effects of diastolic heart failure?

The prognosis on diastolic heart failure is highly dependent on the severity or extent of the problem such as the patient developing pulmonary edema or fluid in the lungs. Prognosis for mild diastolic failure is relatively better. However, the main aim is to minimize complications associated with pulmonary edema such as shortness of breath.

Is it painful to experience diastolic heart failure?

It is quite likely that the experience of diastolic heart failure would be painful and uncomfortable. There may be difficulty in breathing and one can experience a ‘choking’ type of sensation as well. It can last for some time and a morphine drip can help deal with the pain.

Diastolic heart failure is no doubt a serious condition to deal with; however, it need not be a futile situation or something which cannot be tackled. As seen above, cardiac Experts are in a position to provide customized answers to your specific questions about diastolic heart failure disease. If you have other questions about your or a loved one’s condition, ask Experts from the comfort of your home, quickly and affordably. It provides you peace of mind and second opinions in dealing with this unnerving disease.

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