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Review
. 2023 Apr;53(4):195-216.
doi: 10.4070/kcj.2023.0046.

Korean Society of Heart Failure Guidelines for the Management of Heart Failure: Definition and Diagnosis

Jae Yeong Cho #  1 , Dong-Hyuk Cho #  2 , Jong-Chan Youn  3 , Darae Kim  4 , Sang Min Park  5 , Mi-Hyang Jung  3 , Junho Hyun  6 , Jimi Choi  7 , Hyun-Jai Cho  8 , Seong-Mi Park  2 , Jin-Oh Choi  4 , Wook-Jin Chung  9 , Byung-Su Yoo  10 , Seok-Min Kang  11 ; Committee of Clinical Practice Guidelines, Korean Society of Heart Failure
Affiliations
Review

Korean Society of Heart Failure Guidelines for the Management of Heart Failure: Definition and Diagnosis

Jae Yeong Cho et al. Korean Circ J. 2023 Apr.

Abstract

The Korean Society of Heart Failure guidelines aim to provide physicians with evidence-based recommendations for diagnosing and managing patients with heart failure (HF). In Korea, the prevalence of HF has been rapidly increasing in the last 10 years. HF has recently been classified into HF with reduced ejection fraction (EF), HF with mildly reduced EF, and HF with preserved EF (HFpEF). Moreover, the availability of newer therapeutic agents has led to an increased emphasis on the appropriate diagnosis of HFpEF. Accordingly, this part of the guidelines will mainly cover the definition, epidemiology, and diagnosis of HF.

Keywords: Biomarkers; Cardiomyopathy; Heart failure; Heart failure, preserved ejection fraction; Ventricular ejection fraction.

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Conflict of interest statement

The authors have no financial conflicts of interest

Figures

Figure 1
Figure 1. Temporal trends in heart failure from 2009 to 2020 in Korea using the Korean National Health Insurance Service claim data.
Figure 2
Figure 2. The diagnostic algorithm for patients with suspected HF.
Adopted and modified from “Evaluation and management of patients with diabetes and heart failure: a Korean Diabetes Association and Korean Society of Heart Failure Consensus Statement. Int J Heart Fail 2023;5(1):1-20”. BNP = B-type natriuretic peptide; CAD = coronary artery disease; CT = computed tomography; DM = diabetes mellitus; ECG = electrocardiogram; EF = ejection fraction; 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; LVEF = left ventricular ejection fraction; NT-proBNP = N-terminal-pro hormone B-type natriuretic peptide.
Figure 3
Figure 3. Diagnostic workup of new onset acute HF.
BNP = B-type natriuretic peptide; HF = heart failure; MR-proANP = mid-regional pro-atrial natriuretic peptide; NT-proBNP = N-terminal-pro hormone B-type natriuretic peptide. *Coronary angiography, pulmonary embolism computed tomography, or lung sonography.
Figure 4
Figure 4. Diagnostic algorithm of HFpEF.
BNP = B-type natriuretic peptide; ECG = electrocardiogram; HFpEF = heart failure with preserved ejection fraction.
See this image and copyright information in PMC

References

    1. Kim KJ, Cho HJ, Kim MS, et al. Focused update of 2016 Korean Society of Heart Failure guidelines for the management of chronic heart failure. Int J Heart Fail. 2019;1:4–24. - PMC - PubMed
    1. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42:3599–3726. - PubMed
    1. Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: Executive summary: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022;79:1757–1780. - PubMed
    1. Cho DH, Yoo BS. Current prevalence, incidence, and outcomes of heart failure with preserved ejection fraction. Heart Fail Clin. 2021;17:315–326. - PubMed
    1. Shim CY. Heart failure with preserved ejection fraction: the major unmet need in cardiology. Korean Circ J. 2020;50:1051–1061. - PMC - PubMed