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Journal of Renin-Angiotensin-Aldosterone System
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Diagnosis of CHF — often a trap In Itself

Thomas F Lüscher

University Hospital, Zurich, Switzerland, cardiotfl{at}compuserve.com

The increasing clinical burden of congestive heart failure (CHF) is exacerbated by our limited abilities in clinically identifying the various aetiologies of the condition, such as the differentiation between systolic and diastolic heart failure. This denies appropriate therapy to a substantial proportion of patients, particularly outside specialised centres, and can even lead to the use of potentially deleterious interventions.

The development of practically applicable definitions of the various types of CHF, combined with the rationalisation of diagnostic techniques, has helped both primary and secondary care physicians to target therapies appropriately to specific patient groups. This should reduce the number of misdiagnoses, thus minimising the proportion of patients falling through the net of effective CHF management, and thereby improving clinical outcomes and the quality-of-life of those affected.

Key Words: congestive heart failure • diagnosis

References

  • Cleland JGF Diagnosis of heart failure. Heart 1998;79 Suppl 2:SP10-SP16.
  • McDonagh TA, Dargie HJ Epidemiology and pathophysiology of heart failure. Medicine 1998;26:111-5.
  • Cleland JGF Erdmann E., Ferrari R. et al. Guidelines for the diagnosis of heart failure. Eur Heart J 1995;16:741-51.[Free Full Text]
  • Kundel HL, Revesz G. Digital analysis of chest radiographs in pulmonary vascular congestion. Radiology 1982;143:407-10.[Abstract/Free Full Text]
  • Cowie MR, Struthers AD, Wood DA et al. Value of natriuretic peptides in assessment of patients with possible new heart failure in primary care. Lancet 1997;350:1349-53.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Shiels P., MacDonald TM Isolated diastolic heart failure: what is it? Postgrad Med J 1998;74:451-4.[Abstract/Free Full Text]
  • Soufer R.,Wohlgelernter D.,Vita NN et al. Intact systolic left ventricular function in clinical congestive heart failure. Am J Cardiol 1985;55:1032-6.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Aguirre FV, Pearson AC, Lewen MK, McCluskey M., Labovitz AJ Usefulness of Doppler echocardiography in the diagnosis of congestive heart failure. Am J Cardiol 1989;63:1098-102.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Wheeldon NM, MacDonald TM, Flucker CJ, McKendrick AD, McDevitt DG, Struthers AD Echocardiography in chronic heart failure in the community. Q J Med 1993;86:17-23.[Web of Science][Medline] [Order article via Infotrieve]
  • European Study Group on Diagnostic Heart Failure. How to diagnose diastolic heart failure. Eur Heart J 1998;19:990-1003.[Free Full Text]
  • Bart BA, Shaw LK, McCants CB Jr. et al. Clinical determinants of mortality in patients with angiographically diagnosed ischemic or nonischemic cardiomyopathy. J Am Coll Cardiol 1997;30:1002-8.[Abstract]
  • Felker GM,Thompson RE, Hare JM et al. Underlying causes and long-term survival in patents with initially unexplained cardiomyopathy. N Engl J Med 2000;342:1077-84.[Abstract/Free Full Text]
  • Givertz MM Underlying causes and survival in patients with heart failure. N Engl J Med 2000;342:1120-2.[Free Full Text]
  • Harlan WR, Oberman A., Grimm R., Rosati RA Chronic cogestive heart failure in coronary artery disease: clinical criteria. Ann Intern Med 1977;86:133-8.[Abstract/Free Full Text]
  • Remes J., Miettinen H., Reunanen A., Pyorala K. Validity of clinical diagnosis of heart failure in primary health care. Eur Heart J 1991;12:315-21.[Abstract/Free Full Text]
  • Sharpe N., Doughty R. Epidemiology of heart failure and ventricular dysfunction. Lancet 1998;352 Suppl 1:S13-7.[CrossRef]
  • Cleland JGF. Screening for left ventricular dysfunction and chronic heart failure: should it be done and if so, how? Dis Management Health Outcomes 1997;1:169-84.[CrossRef]
  • McDonagh TA, Morrison CE, Lawrence A. et al. Symptomatic and asymptomatic left-ventricular systolic dysfunction in an urban population. Lancet 1997;350:829-33.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Levy D., Larson MG, Vasan RS, Kannel WB, Ho KK The progression from hypertension to congestive heart failure. JAMA 1996;275:1557-62.[Abstract/Free Full Text]
  • Lerman A., Gibbons RJ, Rodeheffer RJ et al. Circulating N-terminal atrial natriuretic peptide as a marker for symptomless left ventricular dysfunction. Lancet 1993;341:1105-9.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • McDonagh TA, Robb SD, Murdoch DR et al. Biochemical detection of left-ventricular systolic dysfunction. Lancet 1998; 351:9-13.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Nielsen OW, Hansen JF, Hilden J., Larsen CT, Svanegaard J. Risk assessment of left ventricular systolic dysfunction in primary care: cross sectional study evaluating a range of diagnostic tests. BMJ 2000;320:220-4.[Abstract/Free Full Text]
  • Cleland JGF, Wang M. Depression and heart failure - not yet a target for therapy? Eur Heart J 1999;20:1529-31.[Free Full Text]
  • Cleland JGF, Swedberg K., Poole-Wilson PA Successes and failures of current treatment of heart failure. Lancet 1998;352 Suppl 1:19-28.
  • Colquhoun MC,Waine C., Monaghan MJ, Struthers AD, Mills PG Investigation in general practice of patients with suspected heart failure: how should the essential echocardiographic service be delivered? Br J Gen Pract 1995;45:517-9.[Web of Science][Medline] [Order article via Infotrieve]

Journal of Renin-Angiotensin-Aldosterone System, Vol. 1, No. 1 suppl, 7-11 (2000)
DOI: 10.3317/jraas.2000.032


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This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
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Right arrow Email this article to a friend
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Right arrow Similar articles in PubMed
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Citing Articles
Right arrow Citing Articles via Google Scholar
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Google Scholar
Right arrow Articles by Lüscher, T. F
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PubMed
Right arrow PubMed Citation
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Right arrowPubmed/NCBI databases
Medline Plus Health Information
*Heart Failure
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 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
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