Reduced ventricular compliance or increased resistance to filling in diastole
Causes
Structural abnormalities
- Ventricular hypertrophy
- Restrictive CM
- Pericardial Tamponade
Impaired diastolic relaxation
- IHD
- Sepsis
Pattern
“small volumes, high pressures”
ä LVEDP with normal or low LVEDV
Pulmonary congestion and ä PAP
AVOID!
Tachycardia (reduced diastoly à worsening dysfunction
AF à Lost AV synchrony à worsening dysfunction
Avoid hypertension
Management
β-Agonists, Milrinone
AV pacing