Chronic Diastolic Heart Failure: Symptoms, Cause, and Diagnosis

Chronic diastolic heart failure occurs when the lower left chamber of the heart can not fill properly with blood during the time of the diastolic phase.
Chronic diastolic heart failure is a major cause of morbidity and mortality in someone’s life with preserved left ventricular. Diastolic heart failure is also known as heart failure with preserved ejection fraction.
The echocardiographically has shown that diastolic dysfunction is associated with high morbidity and mortality with a variety of surgical process.

The diastolic heart failure occurs when the chances of heart failure are more and the heart relaxes and fills with blood. Diastolic dysfunction has been described as the pioneer of diastolic heart failure.Chronic Diastolic Heart Failure

Chronic diastolic heart failure symptoms

The risk of diastolic heart failure can be ongoing or may start suddenly. Diastolic heart failure symptoms may include
  • Shortness of breath during the physical workout.
  • Incomplete sleep with shortness of breathing.
  • Sudden gain a lot of weight.
  • Loss of appetite.
  • Headache
  • Nausea.
  • Having an irregular heartbeat.
  • Breathlessness while lying flat position.
  • Fatigue.
  • Having rough coughing.
  • Wheezing with white or pink phlegm.
  • Difficulty concentrating.
  • Fluid retention causing swelling in the legs or in the abdomen.
  • Sudden body weakness.
  • Lower left arm pain
  • Excessive chest pain.

Diagnosis for chronic diastolic heart failure

If a patient is suffering from diastolic heart diseases, the doctor may ask questions about the past medical history and may order to do a physical exam. After doing all the exams the doctor may use advanced diagnostic methods and technology to best diagnose, inform treatment and carefully monitor the condition of the heart. There are some common diagnosis procedures such as:

Blood test

The doctor may order to do a blood tests to find the cause of your diastolic heart failure and see how critical it is. Doctors look at your kidney and thyroid gland health and measure the body’s cholesterol level. The doctor may check the anemia if you have( which happens when you don’t have enough healthy RBC.

Chest X-ray

In a serious breathless heart patient, surely the first test should be chest X-ray. Because chest X-ray provides information on cardiac size and major cardiac structures and more importantly on any respiratory cause of shortness breath.
Chest X-ray detects the enlargement of the heart which causes heart failure. Chest X-ray helps to detect the condition of the lungs, where the blood vessels in the lungs are not healthy or abnormal.

Electrocardiogram for chronic diastolic heart failure

This process is known as EKG, which measures the electrical activity of the heart and also can help to determine if the heart is enlarged or damaged or at any risk. The electrical currents are detected by 12-15 electrodes that are connected to the arms, legs, and chest via sticky tape.


The process of the electrocardiogram is an ultrasound wave which takes pictures of the heart’s chamber and valves.


Electrophysiology records the electric activity of the heart and also pathways. The electrophysiology identifies the causes of heart rhythm problem and also suggest the best treatments for heart problems.

Stress testing

The stress test helps to monitor the EKG, blood pressure and also heart rate. The stress tests can commonly detect heart problems including damaged heart rhythm, abnormal blood flow, heart valve malfunction. Stress tests also can detect the presence of coronary artery disease.

Causes of chronic diastolic heart failure

  • Diastolic heart failure is most often related to another disease. The following can lead to diastolic heart failure such as:
  • CAD or coronary artery disease which is a disorder that causes narrowing of the arteries that supply blood and oxygen to our heart.
  • Cardiomyopathy which is a disorder of the heart muscle that causes the heart to become very weak and damage.
  • Blood sugar or diabetes.
  • High blood pressure.
  • Overweight.
  • Emphysema, which is a lung disease.
  • HIV.
  • AIDA.
  • Anemia.
  • Serious cancer treatments such as chemotherapy.
  • Misuse of alcohol and drug.

Treatment of chronic diastolic heart failure

There are more treatments for diastolic heart failure than ever before. Treating heart failure is depends on the condition of the heart also. Early and the right treatment can help to overcome and control the diastolic heart failure. But tight control over your medicines, healthy lifestyle, coupled with careful monitoring, are the first steps that a serious heart patient needs to follow. As the condition of the heart gets serious, the doctors specializing in the treatment of heart failure can offer more updating and advanced methods and treatment options.

The primary aim of treating heart failure are to prevent the risks of the development of heart failure or to increase the lifespan. There are several numbers of treatments for diastolic heart failure.

But primarily you need to continue your medicines regularly and also you need to change your lifestyle and should follow a very healthy lifestyle.

If you are experiencing all the symptoms of diastolic heart failure and feeling nor well, then seek medical treatment immediately. Your doctor may suggest you continue medications if the situation is not serious. But the condition gets worse the doctor may suggest or order to admit yourself in the hospital.

Early treatment can help to prevent the risks of heart failure in the future, but you should still get regular testing every 3 – 6 months. The treatment will help to increase the patient’s lifespan.


Early stages of diastolic heart failure may be treated with proper medications to help prevent the symptoms of heart failure.
Proper medication will help to prevent patients’ condition from getting worse. There is some common type of drugs which may help to reduce or prevent the risks of diastolic heart failure such as:

  • ACE inhibitors are very important medicine to manage heart failure. The angiotensin-converting enzyme helps to relax the blood vessels and lowers the blood pressure and also improves the blood flow.
  • ARB drugs called Angiotensin Receptor Blockers such as losartan, candesartan, irbesartan are commonly used to treat heart failure.
  • ARNI called Angiotensin Receptor-Neprilysin Inhibitor helps to reduce the chances of cardiovascular deaths and heart failure.
  • Aldosterone antagonist
  • Beta-blockers ( carvedilol, metoprolol, and bisoprolol ) helps to reduce the mortality of chronic heart failure.
  • Blood vessel dilators.
  • Digoxin
  • Diuretics
  • Heart pump medications
  • Potassium and Magnesium
  • Sinus node inhibitors


A heart surgery is one of the common types of treatment to reduce the risks of heart failure and also surgery helps your heart work better.
During the process of surgery, the doctor needs a healthy piece of the artery and attaches it to the blocked coronary artery. It helps the blood to bypass the blocked, damaged artery and flow through the new one.
Your doctor may order angioplasty. In this process, an inflatable balloon can open a blocked or damaged heart artery. It is done by threading a catheter which is a thin tube through a small puncture in a leg or in the arm artery to the heart.

The doctor may suggest a heart transplant if the stage is very serious and critical. Heart transplant is the last option and it is very risky. The replaces the heart with a healthy heart with a donor.

Stages of heart failure

Heart failure has 4 stages such as:

1. Stage A

It the earliest stage where people at high risk of developing pre-heart failure. In stage A, the risks of heart failure are more in those people with high blood pressure, diabetes, cholesterol, coronary artery disease, metabolic syndrome.
The chances of heart failure are greater when the person has a history of cardiotoxic drug therapy, alcohol abuse, family members with cardiomyopathy, history of rheumatic fever.

2. Stage B

This stage is a little bit serious than stage A. In this stage people diagnosed with systolic left ventricular dysfunction. In this stage, the risks of heart failure are more in those people who have a prior heart attack, cardiomyopathy, valve disease.

3. Stage C

Patients with stage C heart failure is likely comfortable at rest, normal physical activities are in limitations. Even the minimum time of exercise may cause shortness of breath, less ability to exercise and also fatigue.
In this stage, your doctor may suggest you or order to do ACE inhibitors and beta-blockers, angiotensin receptor blocker and neprilysin inhibitors.

4. Stage D

In stage D, you are likely unable to carry on any amount of physical activity without symptoms. Some medical treatments of stage A, B, C will help stage D, too. In this stage, the doctor may suggest you or order you to heart surgery, heart transplant, ventricular assist devices, continuous infusion of intravenous inotropic drugs.

How to prevent the risks of diastolic heart failure

Heart disease is one of the leading cause of death in the entire world. Here are some tips to keep your heart-healthy and prevent the risks of heart failure such as:

Lower your blood pressure

High blood pressure is one of the major symptoms of heart failure and heart disease. So always make sure your blood pressure is under control. Check your BP regularly to control and balance your blood pressure. Follow some healthy habits to lower the blood pressure.

Control your cholesterol level

High levels of cholesterol can increase the risk of diastolic and systolic heart failure and also can clog the arteries. Some changes in lifestyle can control the cholesterol level such as healthy eating, workout, medications.
Also control your fat intake to manage the cholesterol level, otherwise, it can increase many health risks such as heart attack, heart failure, and heart stroke. A high level of triglycerides can increase coronary artery disease.

Manage your weight

Morbid obesity or obesity is one of the common reason for heart failure. So always manage your weight and if you are in obesity, then lose some weight with a heart healthy diet plan.
Overweight can increase many health problems such as blood pressure, cholesterol, diabetes. Controlling your weight can reduce the risk of heart failure. Also some home remedies plays a vital role to keep your heart healthy and disease free.

Follow a healthy diet

It is very important to follow a healthy diet such as oats, wholewheat bread, chickpeas, lean meat, eggs to keep your heart healthy. Make sure your healthy food is full of protein, omega-3 fatty acids, fiber, vitamins, and minerals.
Have some fruits such as apple, orange, banana, dates daily to keep your body healthy because fruits are the source of vitamins and minerals. Add lots of green vegetables in your diet to cut down the unhealthy calories. A healthy diet plan also helps to boost your immune level fast.

Drink 3 liters of water

Water helps to keep our body hydrated and prevents many health problems. Also water removes toxins from our bodies through the process of urination. If your blood vessels carry enough fluids can decrease the workload of your heart.

Maintain a physical workout

The role of physical workout to keep your heart healthy is amazing. Physical workout helps in strengthen your heart. Workout helps to circulate the blood in the heart and also in the entire body. It can help to lower the blood pressure, cholesterol level and controls a healthy weight.

Stop drinking alcohol

One of the major causes of heart failure is drinking a huge amount of alcohol regularly. Alcohol contains zero percent protein, but it contains a high amount of processed sugar and trans fat, which keeps our heart in the risk zone. So it is very important to minimize alcohol or stop drinking alcohol for better results.

Control your blood sugar level

Diabetes is one of the leading cause of heart failure. Regular high blood sugar level damages the blood vessels and nerves which controls your heart and blood vessels. In people with blood sugar, the most common causes of death are heart disease such as heart failure and stroke. So follow a healthy diet to maintain your diabetes.

Stop smoking

Smoking causes many health risks badly such as blood pressure, heart failure and also heart stroke. If you smoke then stop smoking and if you don’t smoke then don’t start smoking. Also quitting cigarettes will definitely help to minimize blood pressure.

Limit your sodium intake

An excessive amounts of sodium intake can increase the risk of heart failure. Sugar and salt help to increase blood pressure fast in the blood vessels. So cut down your sodium and sugar intake including soft drinks, tea and preserved juices for a healthy heart.

Manage stress

Stress also can lead to many health risks such as high blood pressure, blood sugar which can increase the chances of heart failure. So maintain a stress-free life to keep your heart healthy.

Get enough sleep

In our modern busy schedule, it is very important to have enough sleep. Daily 8 hours of sleep helps to keep our body energetic and fresh. Also less sleep can raise blood pressure, obesity and also diabetes. Most adults need 8 hours of sleep daily. Also a proper sleep helps to soothe our mind and relaxes our muscles also.

About Nasima Khatun

Hello everyone, I'm a health and fitness writer on my own website. I'm recently working on my website regularly. All of the information on my website is based on scientific research and nutritional facts.

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