Table. 11—

ESC/ERS guidelines: factors favouring diagnosis of left ventricular diastolic dysfunction in the presence of pulmonary hypertension as assessed by Doppler echocardiography

Clinical features
    Age >65 yrs
    Elevated systolic blood pressure
    Elevated pulse pressure
    Obesity, metabolic syndrome
    Coronary artery disease
    Diabetes mellitus
    Atrial fibrillation
    Left atrial enlargement
    Concentric remodelling of the LV (relative wall thickness >0.45)
    LV hypertrophy
    Presence of echocardiographic indicators of elevated LV filling pressure 13, 14
Interim evaluation (after echocardiography)
    Symptomatic response to diuretics
    Exaggerated increase in systolic blood pressure with exercise
    Re-evaluation of chest radiograph consistent with heart failure 14
  • LV: left ventricle. Modified from 15 with permission from the publisher.