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Systolic and Diastolic Dysfunction

Systolic and Diastolic Dysfunction is a topic covered in the Pocket ICU Management.

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-- The first section of this topic is shown below --

First Things First (assess & treat for the following)

  • Is there evidence for isolated systolic dysfunction?
    • LV ejection fraction < 50%
  • Is there evidence for isolated diastolic dysfunction?
    • Ejection fraction >50%, but
    • Impaired ventricular filling on echocardiography
  • Signs of heart failure/cardiogenic shock? (i.e., low/“inadequate” cardiac output)
    • Heart failure is a clinical diagnosis (symptoms and signs).
    • Treat reversible causes (tamponade, coronary ischemia, pulmonary embolism, thyrotoxicosis, severe anemia, etc.).
    • Optimize cardiac output and treat symptoms.
      • Inotropic support (drugs, assist devices, etc.)
      • Vasodilator therapy and/or afterload reduction
      • Diuresis as tolerated

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Last updated: May 5, 2010


"Systolic and Diastolic Dysfunction." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534238/all/Systolic_and_Diastolic_Dysfunction.
Systolic and Diastolic Dysfunction. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534238/all/Systolic_and_Diastolic_Dysfunction. Accessed April 24, 2019.
Systolic and Diastolic Dysfunction. (2010). In Pocket ICU Management. Available from https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534238/all/Systolic_and_Diastolic_Dysfunction
Systolic and Diastolic Dysfunction [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2019 April 24]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534238/all/Systolic_and_Diastolic_Dysfunction.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Systolic and Diastolic Dysfunction ID - 534238 Y1 - 2010/05/05/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534238/all/Systolic_and_Diastolic_Dysfunction PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -