Advanced Heart Failure in a Special Population: Heart Failure with Preserved Ejection Fraction

Heart Fail Clin. 2021 Oct;17(4):685-695. doi: 10.1016/j.hfc.2021.05.012. Epub 2021 Jul 22.

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a complex clinical syndrome that has become a global health issue, with mortality ranging from 53% to 74% at 5 years. It is defined as the presence of signs and symptoms of heart failure associated with left ventricular ejection fraction greater than or equal to 50%. The definition and diagnosis of HFpEF in patients with unexplained dyspnea remain a clinical challenge in the absence of a unique diagnostic algorithm universally recognized. Clinical trials conducted so far did not show a significant improvement of prognosis, but forthcoming therapies could provide innovative solutions.

Keywords: Diastolic dysfunction; HF; HFpEF; Preserved.

Publication types

  • Review

MeSH terms

  • Dyspnea
  • Heart Failure* / epidemiology
  • Heart Failure* / therapy
  • Humans
  • Prognosis
  • Stroke Volume
  • Ventricular Function, Left