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. 2022 Jan 24;23(2):e34-e61.
doi: 10.1093/ehjci/jeab154.

Multimodality imaging in patients with heart failure and preserved ejection fraction: an expert consensus document of the European Association of Cardiovascular Imaging

Otto A Smiseth  1   2   3 , Daniel A Morris  4 , Nuno Cardim  5 , Maja Cikes  6 , Victoria Delgado  7 , Erwan Donal  8   9 , Frank A Flachskampf  10 , Maurizio Galderisi  11 , Bernhard L Gerber  12 , Alessia Gimelli  13 , Allan L Klein  14 , Juhani Knuuti  15 , Patrizio Lancellotti  16   17 , Julia Mascherbauer  18 , Davor Milicic  6 , Petar Seferovic  19   20 , Scott Solomon  21 , Thor Edvardsen  1   2   3 , Bogdan A Popescu  22 ; Reviewers: This document was reviewed by members of the 2018–2020 EACVI Scientific Documents Committee
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Free article

Multimodality imaging in patients with heart failure and preserved ejection fraction: an expert consensus document of the European Association of Cardiovascular Imaging

Otto A Smiseth et al. Eur Heart J Cardiovasc Imaging. .
Free article

Abstract

Nearly half of all patients with heart failure (HF) have a normal left ventricular (LV) ejection fraction (EF) and the condition is termed heart failure with preserved ejection fraction (HFpEF). It is assumed that in these patients HF is due primarily to LV diastolic dysfunction. The prognosis in HFpEF is almost as severe as in HF with reduced EF (HFrEF). In contrast to HFrEF where drugs and devices are proven to reduce mortality, in HFpEF there has been limited therapy available with documented effects on prognosis. This may reflect that HFpEF encompasses a wide range of different pathological processes, which multimodality imaging is well placed to differentiate. Progress in developing therapies for HFpEF has been hampered by a lack of uniform diagnostic criteria. The present expert consensus document from the European Association of Cardiovascular Imaging (EACVI) provides recommendations regarding how to determine elevated LV filling pressure in the setting of suspected HFpEF and how to use multimodality imaging to determine specific aetiologies in patients with HFpEF.

Keywords: diastole; echocardiography; filling pressure; heart failure; multimodality imaging.

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