Abstract

The article focuses on current aspects of epidemiology, clinical picture, and diagnostics of patients with chronic heart failure (CHF) associated with preserved left ventricular (LV) systolic function. Heart failure with preserved LV ejection fraction (HFpEF) is shown to be prevalent in a population that accounts for more than a half of all CHF cases. The group at risk for HFpEF consists primarily of older women with arterial hypertension, type 2 diabetes mellitus, obesity, and atrial fibrillation. The article presents algorithms for diagnosis of HFpEF based on classic and tissue Doppler echocardiography and measurement of natriuretic peptides.

Highlights

  • The article focuses on current aspects of epidemiology

  • Borlaug BA, Melenovsky V, Russell SD, Kessler K, Pacak K, Becker LC et al Impaired Chronotropic and Vasodilator Reserves Limit Exercise Capacity in Patients With Heart Failure and a Preserved Ejection Frac‐ tion

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Summary

Норма СФ ЛЖ

Framingham Heart Study, США Rochester Epidemiology Project, США Olmsted County MN, США EFFECT Study, Канада Cardiovascular Health Study, США Hong Kong, SAR, Китай. OPTIMIZE-HF, США ADHERE, США Euro Heart Failure Survey New York HF Registry, США UK-HEART, Великобритания DIAMOND–CHF, Германия n

Контролируемые клинические исследования
СН с нормальной ФВ ЛЖ
Малые признаки
Findings
Клиническая картина при СНсФВ ЛЖ Основными клиническими проявлениями СНсФВ

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