Related Experiment Video
Updated: May 2, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
Heart failure with normal ejection fraction: a growing pandemic
Satnam Singh1, Michael Frenneaux
1University of Aberdeen, Level 3, Polwarth building, Foresterhill campus, Aberdeen AB25 2ZD, UK. s.singh@abdn.ac.uk
Insights
Heart failure with normal ejection fraction is a growing condition affecting 30-50% of patients. Effective evidence-based treatments are currently lacking for this increasingly common heart failure type.
Area of Science:
- Cardiology
- Internal Medicine
- Clinical Research
Background:
- Heart failure presents heterogeneously, with a significant subset exhibiting normal left ventricular ejection fraction.
- Epidemiological data indicate a rising prevalence of heart failure with normal ejection fraction (HFNEF).
- HFNEF is projected to become the predominant form of heart failure, yet lacks established evidence-based therapies.
Purpose of the Study:
- To review the underlying causes of heart failure with normal ejection fraction.
- To outline current clinical guidelines for managing HFNEF.
- To discuss available management strategies for patients with HFNEF.
Main Methods:
- Literature review of epidemiological studies on heart failure prevalence.
- Analysis of current clinical practice guidelines for heart failure management.
- Synthesis of information on treatment options for HFNEF.
Main Results:
- A substantial proportion (30-50%) of heart failure patients have preserved ejection fraction.
- The incidence of HFNEF is increasing, suggesting it will soon be the most common heart failure phenotype.
- Current treatment strategies for HFNEF are not evidence-based.
Conclusions:
- Heart failure with normal ejection fraction represents a significant and growing clinical challenge.
- There is an urgent need for the development of effective, evidence-based treatments for HFNEF.
- Understanding the etiology and adhering to current guidelines are crucial for managing this condition.
Abstract:
Heart failure is a heterogeneous syndrome. Approximately 30-50% of patients with heart failure have normal or near normal left ventricle function. Several epidemiological studies confirm that the prevalence of heart failure with normal ejection fraction is increasing. Given the current trends, heart failure with normal ejection fraction will become the most common form of heart failure, for which we do not currently have an evidence-based successful treatment. This article summarizes the etiology, current recommended guidelines and management options for this clinical manifestation.
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