Heart Failure with Preserved Ejection Fraction.

James D Gladden, Antoine H Chaanine, Margaret M Redfield
Author Information
  1. James D Gladden: Department of Cardiovascular Disease, Division of Circulatory Failure, Mayo Clinic, Rochester, Minnesota 55905; email: gladden.james@mayo.edu , chaanine.antoine@mayo.edu , redfield.margaret@mayo.edu.
  2. Antoine H Chaanine: Department of Cardiovascular Disease, Division of Circulatory Failure, Mayo Clinic, Rochester, Minnesota 55905; email: gladden.james@mayo.edu , chaanine.antoine@mayo.edu , redfield.margaret@mayo.edu.
  3. Margaret M Redfield: Department of Cardiovascular Disease, Division of Circulatory Failure, Mayo Clinic, Rochester, Minnesota 55905; email: gladden.james@mayo.edu , chaanine.antoine@mayo.edu , redfield.margaret@mayo.edu.

Abstract

Heart failure (HF) is a clinical syndrome of diverse etiologies and can be associated with preserved, reduced, or mid-range ejection fraction (EF). In the community, heart failure with preserved ejection fraction (HFpEF) is emerging as the most common form of HF. There remains considerable uncertainty regarding its pathogenesis, diagnosis, and optimal therapeutic approach. Hypotheses have been advanced to explain the underlying pathophysiology responsible for HFpEF, but to date, no specific therapy based on these hypotheses has been proven to improve outcomes in HFpEF. We provide a clinically focused review of the epidemiology, clinical presentation, diagnostic approach, pathophysiology, and treatment of HFpEF.

Keywords

Grants

  1. U10 HL110262/NHLBI NIH HHS
  2. R01 HL105418/NHLBI NIH HHS

MeSH Term

Angiotensin Receptor Antagonists
Angiotensin-Converting Enzyme Inhibitors
Cardiovascular Agents
Dyspnea
Exercise Tolerance
Heart Failure
Hospitalization
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Hypertension
Incidence
Inflammation
Ivabradine
Mineralocorticoid Receptor Antagonists
Mortality
Nitrates
Phosphodiesterase 4 Inhibitors
Risk Factors
Stroke Volume

Chemicals

Angiotensin Receptor Antagonists
Angiotensin-Converting Enzyme Inhibitors
Cardiovascular Agents
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Mineralocorticoid Receptor Antagonists
Nitrates
Phosphodiesterase 4 Inhibitors
Ivabradine

Word Cloud

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