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Although the etiology and pathophysiology of INOCA and HFpEF are complex and not fully understood, there is no doubt that the underlying cause of both conditions is endothelial dysfunction (ED) which further promotes the development of left ventricular diastolic dysfunction (LVDD).Healthcare providers use a grading system to determine how severe diastolic dysfunction is: Grade I is slightly impaired diastole. It is a common finding in people over age 60. Grade II is elevated pressure in the left side of your heart. Grade III is significantly elevated pressure in the left side of your heart.
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Diastolic heart failure means the heart does not relax correctly between beats. In both cases, the heart is not pumping blood as efficiently as it should. A person can.
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