Abstract
Heart failure with preserved ejection fraction (HFpEF) is a major public health problem. It indicates a primary problem in the ability of the ventricles to relax and fill normally. HFpEF is associated with high morbidity and mortality particularly in hypertensive patients. It is responsible for approximately half of all heart failure hospitalizations, with mean survival similar to those with heart failure with reduced ejection fraction. A strong correlation exists between impaired diastolic function and longitudinal systolic dysfunction. It is due to left ventricle (LV) remodeling and hypertrophy. The Early detection of subclinical LV systolic dysfunction in hypertensive patients is important for the prevention of progression of the disease, and to avoid symptomatic heart failure.
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