EXPLORE!

Diagnosing HFpEF: Can We Simplify It?

  1093 Views

Dr Partho P Sengupta, USA    04 January 2018

  1. Current schemes for assessing DD and filling pressures have limitations.
  2. Contemporary HFpEF diagnosis should rely on clinical findings+echo, when in doubt use exercise echo, cardiac Cath.
  3. AI techniques may help automate and improve precision in noninvasive assessment of LV filling pressures.
  4. Novel screening tools are needed; wavelet transform EKG may be an attractive solution.

HFpEF: Treatment pearls

  1. Garden-variety HFpEF: Treat BP, DM, obesity, refer for clinical trial if AF, trial of cardioversion.
  2. CAD-HFpEF: Treat like HFrEF (BB, ACEI/ARB, revascularization).
  3. Right heart failure- HFpEF: Diuresis/ultrafiltration, digoxin.
  4. HCM-HFpEF: Verapamil, diltiazem, long-acting metoprolol.
  5. Valvular HFpEF: Treat valvular disease if possible.
  6. High output HFpEF: Treat underlying cause, diuretics/UF.

To comment on this article,
create a free account.

Sign Up to instantly get access to 10000+ Articles & 1000+ Cases

Already registered?

Login Now

Most Popular Articles

News and Updates

eMediNexus provides latest updates on medical news, medical case studies from India. In-depth medical case studies and research designed for doctors and healthcare professionals.