- Refers to the clinical syndrome of heart failure with symptoms of pulmonary and peripheral congestion in the presence of normal left-ventricular systolic function and increased diastolic filling pressures.
- Accounts for about 50% of all patients with heart failure, and carries a similar prognosis.
- The most common risk factors are advanced age, female gender, hypertension, obesity, chronic kidney disease, diabetes mellitus, and coronary artery disease.
- Patients may present with acute decompensated heart failure and are generally managed with diuresis, blood pressure control, and treatment of ischaemia and tachyarrhythmia, when present.
- No therapy has been shown to improve survival in randomised control trials. Risk factor modification is still the cornerstone of long-term management.
Other related conditions
- Chronic congestive heart failure
- Acute exacerbation of congestive heart failure
- Assessment of hypertension
- Obesity in adults
- Type 2 diabetes in adults
- Obstructive sleep apnoea in adults
- Idiopathic pulmonary arterial hypertension
- Overview of acute coronary syndrome
- Acute renal failure
- Chronic renal failure
- ST-elevation myocardial infarction
- Non-ST-elevation myocardial infarction
Last updated: Dec 21, 2012