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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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©2013 UpToDate ® Print Email Ambulatory ePAD during progression of diastolic heart failure Changes in LV diastolic pressure as reflected by ambulatory 24-hour median pulmonary artery diastolic pressures (ePAD) in a patient with diastolic heart failure (HF). Time zero represents the day of hospitalization for acute decompensated HF and Day -60 marks 60 days prior to the onset of this event. As shown, left ventricular diastolic pressure is elevated even with compensated HF-PEF and then rises as diastolic HF worsens. Following treatment the diastolic pressure falls to a level close to that in the preceding compensated phase. Based on data from: Zile MR, Bennett TD, St John Sutton M, et al. Transition from chronic compensated to acute decompensated heart failure: pathophysiological insights obtained from continuous monitoring of intracardiac pressures. Circulation 2008; 118:1433. Courtesy of Dr. Michael Zile.