Diastolic Heart Failure

Diastolic heart failure, also known as heart failure with preserved ejection fraction (HFpEF), is a condition where the heart has trouble relaxing and filling with blood properly. This article aims to provide simple explanations of what diastolic heart failure is, its types, common causes, symptoms, diagnostic tests, treatment options, medications, and potential surgeries in plain English.

Types of Diastolic Heart Failure:

  1. Diastolic Dysfunction: Diastolic dysfunction is a common type of diastolic heart failure where the heart muscle becomes stiff and can’t relax as it should. This makes it harder for the heart to fill with blood between beats.
  2. Hypertensive Heart Disease: High blood pressure can lead to diastolic heart failure. When your blood pressure is consistently high, it can damage the heart muscle and affect its ability to relax.
  3. Valvular Heart Disease: Problems with heart valves, like aortic stenosis or mitral regurgitation, can cause diastolic heart failure by hindering the flow of blood in and out of the heart.
  4. Restrictive Cardiomyopathy: In this rare condition, the heart muscles become rigid, limiting its ability to expand and fill with blood properly.

Common Causes of Diastolic Heart Failure:

  1. Hypertension (High Blood Pressure): Persistent high blood pressure can strain the heart, leading to diastolic heart failure.
  2. Aging: As we age, our heart muscles may become stiffer, making it harder for the heart to relax and fill with blood.
  3. Diabetes: Uncontrolled diabetes can damage blood vessels and the heart, increasing the risk of diastolic heart failure.
  4. Obesity: Being overweight puts extra stress on the heart, making it more likely to develop diastolic heart failure.
  5. Coronary Artery Disease: Blocked or narrowed arteries can limit blood flow to the heart, impacting its ability to relax and function properly.
  6. Kidney Disease: Kidney problems can lead to fluid retention in the body, increasing the workload on the heart and potentially causing diastolic heart failure.
  7. Smoking: Smoking damages blood vessels and increases the risk of heart disease, including diastolic heart failure.
  8. Alcohol Abuse: Excessive alcohol consumption can weaken the heart muscle over time, contributing to heart failure.
  9. Heart Valve Problems: Malfunctioning heart valves can impair blood flow and lead to diastolic heart failure.
  10. Sleep Apnea: Sleep apnea, characterized by interrupted breathing during sleep, can strain the heart and increase the risk of heart failure.

Common Symptoms of Diastolic Heart Failure:

  1. Shortness of Breath: Difficulty breathing, especially during physical activity or when lying down, is a hallmark symptom of diastolic heart failure.
  2. Fatigue: Feeling unusually tired and lacking energy is a common sign.
  3. Swelling: Edema, or swelling in the ankles, legs, and abdomen, can occur due to fluid retention.
  4. Rapid Weight Gain: Sudden weight gain, often due to fluid accumulation, can be a warning sign.
  5. Coughing and Wheezing: Some individuals may experience a persistent cough or wheezing, especially when lying flat.
  6. Chest Discomfort: Discomfort or pressure in the chest may be present, resembling angina (heart-related chest pain).
  7. Irregular Heartbeat: Heart palpitations or an irregular heart rate can occur.
  8. Reduced Exercise Tolerance: You may find it difficult to perform physical activities you once could without feeling breathless or fatigued.
  9. Confusion or Mental Impairment: In severe cases, reduced blood flow to the brain can lead to confusion and difficulty thinking clearly.
  10. Frequent Urination at Night: Waking up frequently to urinate, especially at night, can be a symptom of diastolic heart failure.

Diagnostic Tests for Diastolic Heart Failure:

  1. Echocardiogram: This ultrasound of the heart provides detailed images of its structure and function, helping diagnose diastolic dysfunction.
  2. Electrocardiogram (ECG or EKG): An ECG records the heart’s electrical activity, detecting irregularities that may indicate diastolic heart failure.
  3. Chest X-ray: X-rays can reveal signs of heart enlargement or fluid buildup in the lungs, common in heart failure.
  4. Cardiac MRI: A magnetic resonance imaging scan can provide comprehensive information about the heart’s condition.
  5. Blood Tests: Certain blood markers can indicate heart failure, including brain natriuretic peptide (BNP) and troponin levels.
  6. Exercise Stress Test: Monitoring your heart’s performance during exercise helps identify any abnormalities in heart function.
  7. Holter Monitor: This portable device records your heart’s electrical activity over a 24-48 hour period, useful for detecting irregular heart rhythms.
  8. Cardiac Catheterization: Invasive procedures like angiograms can help visualize coronary artery blockages.
  9. Pulmonary Function Tests: These tests measure lung function, which can be affected by heart failure.
  10. BNP Testing: Elevated BNP levels in the blood can be a sign of heart failure.

Treatment Options for Diastolic Heart Failure:

  1. Lifestyle Modifications: Adopting a heart-healthy lifestyle includes managing blood pressure, maintaining a healthy weight, quitting smoking, and limiting alcohol intake.
  2. Medications: Several medications may be prescribed, including diuretics (to reduce fluid buildup), ACE inhibitors, ARBs, beta-blockers, and calcium channel blockers.
  3. Fluid Restriction: Limiting daily fluid intake can help manage fluid retention.
  4. Sodium Restriction: Reducing dietary sodium (salt) intake can lower blood pressure and decrease fluid buildup.
  5. Exercise: A tailored exercise program, under medical supervision, can improve heart function and overall fitness.
  6. Heart-Healthy Diet: Eating a diet rich in fruits, vegetables, lean proteins, and whole grains can benefit heart health.
  7. Sleep Apnea Treatment: If sleep apnea is contributing to heart failure, treatment options like CPAP (continuous positive airway pressure) therapy may be recommended.
  8. Blood Sugar Control: For individuals with diabetes, managing blood sugar levels is crucial.
  9. Control of Underlying Conditions: Treating conditions like high blood pressure and diabetes is essential in managing diastolic heart failure.
  10. Heart Transplant: In severe cases, a heart transplant may be considered when other treatments have not been effective.

Medications for Diastolic Heart Failure:

  1. Diuretics (Water Pills): Diuretics help the body eliminate excess fluid, reducing swelling and easing the workload on the heart.
  2. ACE Inhibitors: These drugs relax blood vessels, reducing blood pressure and improving heart function.
  3. ARBs (Angiotensin II Receptor Blockers): ARBs help lower blood pressure and reduce strain on the heart.
  4. Beta-Blockers: Beta-blockers slow the heart rate and reduce its workload, improving diastolic function.
  5. Calcium Channel Blockers: These medications relax blood vessels and reduce blood pressure.
  6. Statins: Statins help lower cholesterol levels, reducing the risk of heart disease.
  7. Blood Thinners: Anticoagulants may be prescribed to prevent blood clots.
  8. Antiarrhythmics: Medications to control irregular heart rhythms may be necessary.
  9. Vasodilators: These drugs relax blood vessels, making it easier for the heart to pump blood.
  10. Inotropic Agents: In severe cases, drugs that strengthen the heart’s contractions may be used temporarily.

Surgery for Diastolic Heart Failure:

  1. Coronary Artery Bypass Grafting (CABG): CABG surgery can improve blood flow to the heart by bypassing blocked or narrowed arteries.
  2. Valve Repair or Replacement: Surgery to repair or replace damaged heart valves can improve heart function.
  3. Ventricular Assist Devices (VADs): VADs are implanted mechanical pumps that assist the heart in pumping blood, often used as a bridge to heart transplant.
  4. Heart Transplant: In cases of end-stage heart failure, a heart transplant may be the best option to replace the failing heart.
  5. Ablation: This procedure uses heat or cold energy to treat abnormal heart rhythms.

Conclusion:

Diastolic heart failure is a condition where the heart struggles to relax and fill with blood correctly. Understanding its types, common causes, symptoms, diagnostic tests, treatment options, medications, and potential surgeries is crucial for managing the condition effectively. With lifestyle changes, medications, and sometimes surgery, individuals with diastolic heart failure can lead healthier lives and improve their heart’s function. Regular medical care and following your healthcare provider’s recommendations are essential for managing this condition.

 

Disclaimer: Each person’s journey is unique, treatment plan, life style, food habit, hormonal condition, immune system, chronic disease condition, previous medical  history is also unique. So always seek the best advice from a qualified medical professional or health care provider before trying any treatments to ensure to find out the best plan for you. This guide is for general information and educational purposes only. If you or someone are suffering from this disease condition bookmark this website or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. Thank you for giving your valuable time to read the article.

  1. https://medlineplus.gov/skinconditions.html
  2. https://www.aad.org/about/burden-of-skin-disease
  3. https://www.usa.gov/federal-agencies/national-institute-of-arthritis-musculoskeletal-and-skin-diseases
  4. https://www.cdc.gov/niosh/topics/skin/default.html
  5. https://www.skincancer.org/
  6. https://illnesshacker.com/
  7. https://endinglines.com/
  8. https://www.jaad.org/
  9. https://www.psoriasis.org/about-psoriasis/
  10. https://books.google.com/books?
  11. https://www.niams.nih.gov/health-topics/skin-diseases
  12. https://cms.centerwatch.com/directories/1067-fda-approved-drugs/topic/292-skin-infections-disorders
  13. https://www.fda.gov/files/drugs/published/Acute-Bacterial-Skin-and-Skin-Structure-Infections—Developing-Drugs-for-Treatment.pdf
  14. https://dermnetnz.org/topics
  15. https://www.aaaai.org/conditions-treatments/allergies/skin-allergy
  16. https://www.sciencedirect.com/topics/medicine-and-dentistry/occupational-skin-disease
  17. https://aafa.org/allergies/allergy-symptoms/skin-allergies/
  18. https://www.nibib.nih.gov/
  19. https://rxharun.com/rxharun/rxharun/article-types/skin-care-beauty/skin-diseases-types-symptoms-treatment/
  20. https://www.nei.nih.gov/
  21. https://en.wikipedia.org/wiki/List_of_skin_conditions
  22. https://en.wikipedia.org/?title=List_of_skin_diseases&redirect=no
  23. https://en.wikipedia.org/wiki/Skin_condition
  24. https://oxfordtreatment.com/
  25. https://www.nidcd.nih.gov/health/
  26. https://consumer.ftc.gov/articles/w
  27. https://www.nccih.nih.gov/health
  28. https://catalog.ninds.nih.gov/
  29. https://www.aarda.org/diseaselist/
  30. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets
  31. https://www.nibib.nih.gov/
  32. https://www.nia.nih.gov/health/topics
  33. https://www.nichd.nih.gov/
  34. https://www.nimh.nih.gov/health/topics
  35. https://www.nichd.nih.gov/
  36. https://www.niehs.nih.gov
  37. https://www.nimhd.nih.gov/
  38. https://www.nhlbi.nih.gov/health-topics
  39. https://obssr.od.nih.gov/
  40. https://www.nichd.nih.gov/health/topics
  41. https://rarediseases.info.nih.gov/diseases
  42. https://beta.rarediseases.info.nih.gov/diseases
  43. https://orwh.od.nih.gov/

References