Hypertension and Heart Failure with Preserved Ejection Fraction

Heart Fail Clin. 2021 Jul;17(3):337-343. doi: 10.1016/j.hfc.2021.02.002.

Abstract

The prevalence of heart failure with preserved ejection fraction (HFpEF) is increasing rapidly, and its prognosis is as poor as that of HF with reduced EF. Hypertension is an important risk factor involved in the pathophysiology of HFpEF. Although treatment of hypertension lowers the incidence of HF and is beneficial in patients with HFpEF, there is conflicting evidence on this topic. This article discusses the pathophysiological mechanisms linking hypertension with HFpEF and also the current evidence on the treatment of hypertension in patients with HFpEF.

Keywords: Antihypertensive agents; Blood pressure; Heart failure; Hypertension.

Publication types

  • Review

MeSH terms

  • Blood Pressure / physiology*
  • Disease Management*
  • Heart Failure / etiology
  • Heart Failure / physiopathology*
  • Heart Failure / therapy
  • Humans
  • Hypertension / complications*
  • Hypertension / physiopathology
  • Hypertension / therapy
  • Incidence
  • Prognosis
  • Risk Factors
  • Stroke Volume / physiology*