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Critical Care Research and Practice
Volume 2012, Article ID 964158, 5 pages
http://dx.doi.org/10.1155/2012/964158
Review Article

Left Ventricular Diastolic Dysfunction in the Intensive Care Unit: Trends and Perspectives

1Jay B. Langner Critical Care Service, Division of Critical Care Medicine, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA
2Department of Cardiology, University Hospital of Rio, 26504 Patra, Greece
3Critical Care Unit, General State Hospital of Athens, 11437 Athens, Greece

Received 24 February 2012; Revised 6 March 2012; Accepted 6 March 2012

Academic Editor: Apostolos Papalois

Copyright © 2012 Lewis Ari Eisen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Heart failure with a normal or nearly normal left ventricular (LV) ejection fraction (HFNEF) may represent more than 50% of heart failure cases. Although HFNEF is being increasingly recognized, there is a relative lack of information regarding its incidence and prognostic implications in intensive care unit (ICU) patients. In the ICU, many factors related to patient’s history, or applied therapies, may induce or aggravate LV diastolic dysfunction. This may impact on patients’ morbidity and mortality. This paper discusses methods for assessing LV diastolic function and the feasibility of their implementation for diagnosing HFNEF in the ICU.