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It's a heart failure but the EF is still more than 50%.
When should I consider this patient as having HF despite his preserved EF?
Is echo alone sufficient to diagnose HFpEF?
Shall I treat it in the same way as HFrEF & HFmrEF?
Let's try to elaborate these queries in this video based on the literature & the ESC Guidelines.
2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure
www.escardio.o...
H2FPEF Score
www.ahajournal...
www.researchga...
HFA-PEFF score
academic.oup.c...
Generalizability of HFA-PEFF and H2FPEF Diagnostic Algorithms and Associations With Heart Failure Indices and Proteomic Biomarkers: Insights From PROMIS-HFpEF
www.sciencedir...
TOPCAT trial. Spironolactone for Heart Failure with Preserved Ejection Fraction
www.nejm.org/d...
PARAGON HF trial. Angiotensin-Neprilysin Inhibition in Heart Failure with Preserved Ejection Fraction
www.nejm.org/d...
CHARM-Preserved trial. Candesartan in Heart Failure-Preserved.
pubmed.ncbi.nl...
PEP-CHF trial. Perindopril for Elderly People With Chronic Heart Failure.
www.acc.org/la...