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dc.contributor.authorDanzmann, Luiz Cláudiopt_BR
dc.contributor.authorBodanese, Luiz Carlospt_BR
dc.contributor.authorKohler, Ilmarpt_BR
dc.contributor.authorTorres, Marco Antonio Rodriguespt_BR
dc.date.accessioned2010-05-05T04:15:52Zpt_BR
dc.date.issued2008pt_BR
dc.identifier.issn1476-7120pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/21554pt_BR
dc.description.abstractMultiparametric echocardiographic imaging of the failing heart is now increasingly used and useful in decision making in heart failure. The reasons for this, relies on the need of different strategies of handling these patients, as differentiation of systolic or diastolic dysfunction, as well as on the gamma of approaches available, such as percutaneous and surgical revascularization, devices implantations, and valvular regurgitations and stenosis corrections. Congestive heart failure in patients with normal left ventricular diameters or preserved left ventricular ejection fraction had been pointed out recently as present in a proportion so high as 40 to 50 percent of cases of heart failure, mainly due to the epidemics in well developed countries, as is the problem of not well controlled metabolic states (such as obesity and diabetes), but also due to the real word in developing countries, as is the case of hypertension epidemics and its lack of adequate control. As a matter of public utility, the guidelines in the diagnosis and treatment of such patients will have to be cheap, available, easily reproducible, and ideally will furnish answers for the clinician questions not in a binary "black or white" manner, but with graduations, so if possible it has to be quantitative. The present paper aim to focus on the current clinical applications of tissue Doppler and of left atrial function and remodeling, and its pathophysiologic relationship with the left ventricle, as will be cleared in the documented review of echocardiography that follows, considering that the need of universal data on the syndrome of the failing heart does not mean, unfortunately, that all patients and clinicians in developing countries have at their own health facilities the same imaging tools, since they are, as a general rule, expensive.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofCardiovascular ultrasound. London. Vol. 6, no. 56 (Nov. 2008), 13 p.pt_BR
dc.rightsOpen Accessen
dc.subjectInsuficiência cardíacapt_BR
dc.subjectRemodelação ventricularpt_BR
dc.subjectFuncao ventricular esquerdapt_BR
dc.titleLeft atrioventricular remodeling in the assessment of the left ventricle diastolic function in patients with heart failure : a review of the currently studied echocardiographic variablespt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000691125pt_BR
dc.type.originEstrangeiropt_BR


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