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. 2023 May 15;109(11):874-883.
doi: 10.1136/heartjnl-2022-321097.

Management of patients with heart failure and preserved ejection fraction

Alicja Jasinska-Piadlo  1   2 , Patricia Campbell  3
Affiliations

Management of patients with heart failure and preserved ejection fraction

Alicja Jasinska-Piadlo et al. Heart. .
No abstract available

Keywords: diagnostic imaging; heart failure; heart failure, diastolic.

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Conflict of interest statement

Competing interests: AJ-P was a recipient of a Doctoral Fellowship Award from the Research and Development department of the Public Health Agency, Health and Social Care in Northern Ireland and received speaker honorarium from Vifor-Pharma. PC received speaker honoraria from Novartis, Boehringer Ingelheim, Vifor-Pharma, Pfizer and AstraZeneca and institutional research funding from AstraZeneca and is a member of the advisory board for EMPEROR-Preserved.

Figures

Figure 1
Figure 1
Types of HF according to differences of LVEF based on internationally accepted universal definition of HF. HF, heart failure; HFmrEF, heart failure with mildly reduced ejection fraction; HFpEF, heart failure with preserved ejection fraction; HFrEF, heart failure with reduced ejection fraction; LV, left ventricular; LVEF, left ventricular ejection fraction.
Figure 2
Figure 2
Illustration of the many faces of the HFpEF phenotype reflecting heterogeneous and complex underlying pathophysiology in HFpEF syndrome. In the future, HFpEF treatment should be based on personalised approach, precise risk stratification with targeted therapies and preventative intervention. Graphic inspired by Professor C Miller, with permission. HFpEF, heart failure with preserved ejection fraction.
Figure 3
Figure 3
Cardiac and non-cardiac causes of raised natriuretic peptides (serum levels >125 pg/mL for N-terminal probrain natriuretic peptide or >35 pg/mL for brain natriuretic peptide). *Denotes hypertrophic or restrictive cardiomyopathy. ACS, acute coronary syndrome; COPD, chronic obstructive pulmonary disease; ICD, implantable cardioverter–defibrillator; LV, left ventricular; PE, pulmonary embolism.
Figure 4
Figure 4
Diagnostic algorithms for HF: European Society of Cardiology 2021 HF guidelines and NICE 2018 HF guidelines. Reproduced with permission from Br J Cardiol 2022;29(suppl 2):S3–S6, doi: 10.5837/bjc.2022.s06. ECHO, echocardiogram; ESC, European Society of Cardiology; HF, heart failure; NICE, National Institute for Health and Care Excellence; NT-proBNP, N-terminal probrain natriuretic peptide.
Figure 5
Figure 5
Education and self-care topics to be covered by the multidisciplinary team caring for patients with HF. HF, heart failure.
See this image and copyright information in PMC

References

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    1. Dunlay SM, Roger VL, Redfield MM. Epidemiology of heart failure with preserved ejection fraction. Nat Rev Cardiol 2017;14:591–602. 10.1038/nrcardio.2017.65 - DOI - PubMed

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