The misconceptions cited in this article from the green journal aren't complete myths, but the
article highlights some of the oversimplifications in our thinking on
the subject.
My take home points after reading this
article are: 1) heart failure, whether systolic or diastolic, is a
clinical diagnosis and not one made by echo; 2) the pathophysiology
and mechanisms of symptom production are complex and go beyond
diastolic relaxation properties of the left ventricle; and the
distinction between systolic and diastolic dysfunction is not as
sharp is commonly perceived.
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