candesartan in diastolic heart failure

Drugs like Enalapril and Candesartan, while often thought of as medications for treating high blood pressure, also have a proven role in the treatment of congestive heart failure. If your father is feeling unwell, and you think it is related to the medications, you should have him seen by his doctor. Also, be sure to mention to his doctor any over-the-counter supplements that he may be taking.

If you have symptoms of heart failure such as shortness of breath, inability to lie flat at night, swellings in your legs, then you might have diastolic heart failure. To answer your question, it is possible to have diastolic dysfunction without heart failure. However, the fact that your pulmonary artery pressure is mildly elevated does suggest that you might have diastolic heart failure.

Your question is rather brief and technical, that may be why no help has surfaced, save this comment. I believe an EF (Ejection Fraction) over 50% (over 60% much better) considered good. I do not know what E or A thus E/A, stand for. Thus I do not have any help there. Did you numbers come from an echocardiogram? If so the doctor should interpret the results for you. If my doctor said to me "diastolic heart failure" I'd say WHAT? Please explain what is next.

In my non-medical thinking, I would think that it would be expected to have a small bit of diastolic dysfunction shortly after having heart failure, since my heart failure was not systolic. Does this reasoning make any sense? My doctor expects my diastolic dysfunction to completely go away, and it is probably already back to normal. My BNP during my HF was 425 and a few weeks ago it was down to 7. Would you take this as a sign that my DD is already cleared up?

Hi, By treating the underlying conditions that lead to diastolic dysfunction, the severity of diastolic dysfunction is not worsened and hence does not progress to heart failure. Primarily if you are asymptomatic, main goal of treatment should be managing the underlying conditions. If left untreated diastolic dysfunction does lead to heart failure and this can be diagnosed by echocardiogram, ECG, tread mill test and chest x-ray. Hope this helps. Best.

I'm sorry you're having some difficulty. Diastolic dysfunction is very common, especially as patients get older. It is heart failure, but it is failure of your heart to relax rather than to squeeze (the heart failure you're used to hearing about). This causes very similar symptoms to systolic heart failure and treatments are very similar. Unfortuntely, no treatment has real proven benefit for patients with diastolic dysfunction.

Less blood/oxygen output with each heartbeat (cardiac output) can cause chest pain, shortness of breath, muscle fatigue, etc. and if not properly or effectively treated results in heart failure. When there is heart failure the lungs will become congested with fluids as blood received from the lungs backs up as the heart is weak to pump into circulation the received blood/oxygen.

This can lead to Diastolic Heart Failure, and on to Congestive Heart Failure, without the medicinal treatment and changes in lifestyle. I have read that a high resting heart rate can also cause high diastolic pressure. You smoke, so your resting heart rate will be much higher than a non-smoker. The carbon monoxide that enters your blood stream is sensed by the brain.

I found out today that I have Stage 1/Grade 1 diastolic dysfunction. It does answer a few questions for me, but needless to say it's not something I wanted to hear. I'm 63 years old, and definitely carrying about 30 pounds I could do without, I have chest pains, shortness of breath, I fatigue too easily, and my blood pressure has jumped as high as 197/100. Making matters worse, I'm a Marine Corps combat vet and diagnosed with very severe/complex PTSD.

An EF of 65% should give you a lot of confidence that your heart is pretty healthy. It sounds to me that you are worried about your pulmonary artery function, something that is best diagnosed with an Echocardiogram. An ECG is a great test to determine a heart attack, but not a diagnostic tool. Smoking, being overweight, taking drugs, diabetes and certainly sleep apnea can all cause problems with the pulmonary artery. I'd reduce risk factors. Keep us informed.

There are degrees of diastolic dysfunction, where some of them are considered diastolic heart failure, yes. But the most important thing to do is to correct the risk factors, and you should ask your physician.

I currently have uncontrolled RA, I take Plaquenil 400mg but will be changing to new meds soon. I have just been DX with Diastolic Heart failure. I don't have High Blood Pressure, Sleep Apnea, or Coronary Artery Disease although I am 60lbs over weight. Could the Diastolic Heart failure be connected to my RA?

Can diastolic dysfunction cause symptoms of heart failure? I have left ventricular hypertrophy with hyperdnamic systolic function. I have shortness of breath and chest pain with exercise or climbing stairs, and sometimes swollen legs. I was told it was diastolic heart failure. EF is normal to above normal. Left ventricle is stiff. Cath results are: pcwp: 23mm, pulmonary artery 45/23 mm, right atrium mean 17mm, right ventricle 45/17 mm, lvedp is 23mm.

Sometimes the walls are too thin (systolic heart failure) usually referred to as Congestive Heart failure or CHF, or too thick (diastolic heart failure) which is called Hypertrophic Cardiomyopathy or HCM. (There are also a Restictive Cardiomyopathy and an Alcoholic Cardiomopathy) Which type you have, depends on the type of treatment given.

Subtract the volume left in the ventricle after diastolic (filling) phase. Then divide the volume of blood during systole for a fraction...that would be EF. Your EF idicates you have a normal pumping heart. Normal is 50 to 70%. Do you have any heart valve regurgitation (leakage)? Sometimes there is a hole between the upper chambers that comes to the attention of a cardiologist when an individual is in their teens due to a congenital defect?

DD is a condition where the heart does not have adequate filling space as the heart walls are rigid and thickened. When the heart chamber cannot relax there is less blood pumped into circulation with each heartbeat. The progressive diminishing cardiac output will eventually cause heart failure meaning the heart isn't get sufficient oxygenated blood. The heart failure can/will lead to cardiac arrest. The underlying cause and if successfully treated would help evaluate prognosis.

When there is diastolic noncompliance there can be heart failure with the EF and FS in the normal range and/or there can be LVEF and LVES pathology, or a combination thereof. There are computerized software algorisms and envolves a program that calculates the volume and does the calculations.

In some studies, diastolic dysfunction has been defined as heart failure (heart failure is EF below 29%) with normal systolic Do you have a normal (systole)left ventricle funcitonality (EF 55-75%)?.Symptoms of heart failue are SOB , chest pain, etc. If the heart cannot fill with blood easily (due to DD), either the cardiac output becomes diminished or compensation ensues to increase the ventricular diastolic pressure to higher levels.

This has been going on for several years. Within the last 2 years I have been diagnosed with diastolic heart failure, asthma, and copd. I can't do anything that causes stress or exertion without experiencing all these symptoms. PLEASE HELP.

There can be an aorta valve problem that will affect the pressures. Untreated the condition can advance to heart failure (left ventricle dysfuntion...failure for the heart to pump a sufficient output to meet system demand. Does the report state cardiomyopathy?

Abnormal heart function can lead to fluid backing up in the lungs and other serious symptoms, called heart failure. Your wife appears to have what is called "diastolic dysfunction", which means that by echocardiogram, there is evidence that the heart has a difficulty with relaxing. When it is severe enough, this may lead to difficulty with the heart filling, and symptoms of heart failure.

Candesartan in diastolic heart failure

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