Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26227
Title: The Heart Failure with Preserved Ejection Fraction Conundrum-Redefining the Problem and Finding Common Ground?
Austin Authors: Iyngkaran, P;Thomas, M C;Neil, C;Jelinek, M;Cooper, M;Horowitz, J D;Hare, David L ;Kaye, D M
Affiliation: Department of Cardiology, St. Vincent's Hospital, Melbourne, Victoria, Australia
Cardiology University of Adelaide, Adelaide, 5011, Australia
Department of Diabetes, The Alfred and Monash University, Melbourne, Australia
Department of Medicine-Western Precinct, University of Melbourne, Melbourne, Victoria, 3011, Australia
Biochemistry of Diabetes Complications, Melbourne, Australia
Werribee Mercy Sub School, School of Medicine, Sydney, Australia
Cardiology and Head Heart Failure Research, Alfred Hospital, Melbourne, Australia
Cardiology
Issue Date: Apr-2020
Date: 2020-04
Publication information: Current Heart Failure Reports 2020; 17(2): 34-42
Abstract: Heart failure with preserved ejection fraction (HFpEF) or diastolic heart failure (DHF) makes up more than half of all congestive heart failure presentations (CHF). With an ageing population, the case load and the financial burden is projected to increase, even to epidemic proportions. CHF hospitalizations add too much of the financial and infrastructure strain. Unlike systolic heart failure (SHF), much is still either uncertain or unknown. Specifically, in epidemiology, the disease burden is established; however, risk factors and pathophysiological associations are less clear; diagnostic tools are based on rigid parameters without the ability to accurately monitor treatments effects and disease progression; finally, therapeutics are similar to SHF but without prognostic data for efficacy. The last several years have seen guidelines changing to account for greater epidemiological observations. Most of these remain general observation of shortness of breath symptom matched to static echocardiographic parameters. The introduction of exercise diastolic stress test has been welcome and warrants greater focus. HFpEF is likely to see new thinking in the coming decades. This review provides some of perspective on this topic.
URI: https://ahro.austin.org.au/austinjspui/handle/1/26227
DOI: 10.1007/s11897-020-00454-2
Journal: Current Heart Failure Reports
PubMed URL: 32112345
Type: Journal Article
Subjects: Clinical trials
Diagnosis
Diastolic heart failure
Epidemiology
HFpEF
Heart failure with preserved ejection fraction
Appears in Collections:Journal articles

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