Diastolic dysfunction Heart failure with preserved left ventricular ejection fraction

• Facts:
  Impaired ventricular filling due to poor myocardial relaxation or diminished ventricular compliance
  Elevated diastolic pressures reduce cardiac output
• History / PE:
  Progressive SOB
  History of HTN, with med noncompliance
  Atrial fibrillation
  Bibasilar crackles
  Pitting edema
• Treatment:
  Diuretics
  Antihypertensives
• Complications:
  Decompensated heart failure
• Differential Diagnosis:
  Cardiogenic shock
  High output cardiac failure