Abstract
Diving Into the Diagnostic Score Algorithms of Heart Failure With Preserved Ejection Fraction
Highlights
Reviewed by: Guido Pastorini, Regina Montis Regalis Hospital, Italy Francesca Valentini, Azienda USL Toscana Sud Est, Italy
The H2FPEF score was developed from evaluation of patients with dyspnea and identified that obesity, hypertension, atrial fibrillation, pulmonary hypertension, older age (>60 years old), and evidence of elevated filling pressures on echocardiogram were associated with invasively confirmed elevation of filling pressures used as the gold standard for the heart failure with preserved ejection fraction (HFpEF) diagnosis
The HFA-PEFF score from the European Society of Cardiology (ESC) is based on expert consensus and refers to a multi-step evaluation process of patients with dyspnea to diagnose HFpEF
Summary
The presence of one or more comorbid conditions like coronary artery disease, atrial fibrillation, hypertension, diabetes, renal insufficiency, pulmonary hypertension, anemia, obesity, and lung disease often defines older patients in the Western world These comorbidities can be associated with fluid retention and dyspnea on exertion, which can mimic the signs and symptoms of heart failure. Many of these conditions, such as obesity, atrial fibrillation, systemic and pulmonary hypertension, and old age, have been associated with elevated filling pressures at rest or with exercise as defined by the H2FPEF score [2].
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