The prognosis in HFpEF is almost as severe as in HF with reduced EF (HFrEF). It is assumed that in these patients HF is due primarily to LV diastolic dysfunction. 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). Oh, Nobuyuki Ohte and by the 2020–2022 EACVI President: Bernard Cosyns. Haugaa, Leyla Elif Sade, Ivan Stankovic by external reviewers: Jong-Won Ha, Sherif Nagueh, Jae K. Reviewers: This document was reviewed by members of the 2018–2020 EACVI Scientific Documents Committee: Philippe B.
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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.ĭiastole, echocardiography, filling pressure, heart failure, multimodality imaging
Progress in developing therapies for HFpEF has been hampered by a lack of uniform diagnostic criteria. This may reflect that HFpEF encompasses a wide range of different pathological processes, which multimodality imaging is well placed to differentiate. 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.
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