articleEuropean Heart JournalAug 27, 2019BRONZE OA

How to diagnose heart failure with preserved ejection fraction: the HFA–PEFF diagnostic algorithm: a consensus recommendation from the Heart Failure Association (HFA) of the European Society of Cardiology (ESC)

BPBurkert PieskeCTCarsten TschöpeRARudolf A. de BoerAGAlan G. FraserSDStefan D. Anker

German Centre for Cardiovascular Research · Berlin Institute of Health at Charité - Universitätsmedizin Berlin · +30 more institutions

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Abstract

Making a firm diagnosis of chronic heart failure with preserved ejection fraction (HFpEF) remains a challenge. We recommend a new stepwise diagnostic process, the 'HFA-PEFF diagnostic algorithm'. Step 1 (P=Pre-test assessment) is typically performed in the ambulatory setting and includes assessment for HF symptoms and signs, typical clinical demographics (obesity, hypertension, diabetes mellitus, elderly, atrial fibrillation), and diagnostic laboratory tests, electrocardiogram, and echocardiography. In the absence of overt non-cardiac causes of breathlessness, HFpEF can be suspected if there is a normal left ventricular ejection fraction, no significant heart valve disease or cardiac ischaemia, and at least…

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Topics & keywords

Topics
Keywords
  • Medicine
  • Cardiology
  • Internal medicine
  • Heart failure
  • Ejection fraction
  • Heart failure with preserved ejection fraction
  • Atrial fibrillation
  • Diastole
UN Sustainable Development Goals
  • Good health and well-being
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