Resumen

BORGES HELPS, Alexis; DESCHAPELLES HIMELY, Eulogio  y  ALVAREZ TOLEDO, Orlando. Insuficiencia cardíaca diastólica en el corazón del paciente con hipertensión arterial esencial. Rev Cub Med Mil [online]. 2003, vol.32, n.4. ISSN 0138-6557.

One of the first manifestations of the hypertensive heart disease is the modification of the heart function. The diastolic function is the first of these modifications that may be demonstrated by Doppler echocardiography. Several investigations have proved the existance of a high proportion of patients with heart failure that have a normal systolic function of the left ventricle. This condition is called diastolic heart failure. The classical pattern of the treatment based on digitalis, diuretics and vasodilators may have no effect, or a conter-productive effect on these patients. That's why, it is necessary a definition of heart failure due to ventricular systolic dysfunction and to establish the difference between both to follow a therapeutic conduct. The drugs that have proved to be efficient in the diastolic dysfunction are calcium antagonists (mainly verapamil and ditiagen), the betaadrenergic blockers and the angiotensin- coverting enzime inhibitors.

Palabras clave : BAJO GASTO CARDIACO [terapia]; DISFUNCION VENTRICULAR [terapia]; CARDIOPATIAS; CARDIAC OUTPUT, LOW [therapy]; VENTRICULAR DYSFUNCTION [therapy]; HEART DISEASES.