T 09-980-6363. M 022-672-8255. F 09-929-3248. consult@cardiologist.co.nz. EDI: CARDINST
North Shore - Suite 109, Level 1, 119 Apollo Drive, Albany
Silverdale - Northern Specialist Centre @Beyond; 5 Painton Road, Silverdale.
Central Auckland - 110 Specialist Centre @ Beyond;v110 Grafton Road, Grafton
East Auckland - East Care Specialist Centre, 260 Botany Road, Howick, Manukau
Homage to Mondrian by Nipan Keawkumdee
HFpEF stands for heart failure with preserved ejection fraction. Commonly, it is defined as those with an LV ejection fraction of more than 50%, though varying definitions do exist.
This condition is poorly understood and is difficult to diagnose, because it is largely one of excluding other potential non cardiac causes of symptoms suggestive of HF.
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70-year-old asymptomatic man with hypertension but not cardiovascular disease presented for a routine check. His pulse rate was 40bpm. His son, aged 45, recently had an MI in Australia.
His medications include
Doxazosin 8mg OD
Metoprolol 95mg CR OD – since 2006
Cilazapril 5mg / Hydrochlorothiazide 12.5mg OD
ECG shows sinus bradycardia, with normal PR interval, QRS duration.
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