<< Evidence-Based Hospital Management Of Patients With Heart Failure With Preserved Ejection Fraction

Clinical Pearls

Diagnose HF-PEF

  • Signs or symptoms of heart failure not attributable to other conditions.
  • Normal or mildly abnormal LV systolic function.
  • Evidence of diastolic dysfunction (LVH or remodeling,LAE, and echo Doppler or cath evidence of diastolic dysfunction).

History And Physical Examination

Establish the diagnosis:

  • Framingham criteria (2 major or 1 major and 2 minor criteria)

Identify underlying etiology or risk factors for HF-PEF:

  • Hypertension, diabetes mellitus, dyslipidemia, coronary artery disease, cardiomyopathy, prior myocardial infarction, valvular heart disease, alcohol use, collagen vascular disease, thyroid disease, pheochromocytoma, substance abuse history (eg, cocaine), history of chemotherapy/radiation to chest.


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