Diagnosis of Heart Failure with Preserved Heart Failure in the Office Setting: How to Assemble this Puzzle?

Biolo, Andreia; Rover, Marciane Maria

ABC Heart Fail Cardiomyop 2022; 2(3): 316-318

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Diagnosis of Heart Failure with Preserved Heart Failure in the Office Setting: How to Assemble this Puzzle?

DOI: 10.36660/abchf.20220068

Heart failure with preserved ejection fraction (HFpEF) is the most common form of heart failure (HF) in patients older than 65 years of age, accounting for more than 50% of all cases of HF.1 However, despite more than 30 years of research on this intriguing and challenging heart disease, there is a lack of consensus on the diagnostic approach and a wide variation in guidelines’ criteria.2,3 This lack of uniformity in the definition and the difficult diagnosis are partly due to an incomplete understanding of the complexity of HFpEF – its pathophysiology, phenotypic heterogeneity and natural history. The 2022 AHA/ACC guideline highlights that evidence supporting increased filling pressures at rest or during exercise is important for the diagnosis of this disease.3