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HFNEF, HFpEF, HF-PEF, or DHF: what is in an acronym?

John E Sanderson1

  • 1Division of Cardiology, Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong, People's Republic of China.

JACC. Heart Failure
|March 14, 2014
PubMed

Insights

Heart failure with preserved ejection fraction (HFpEF) is a debated term. Researchers argue Heart Failure with Normal Ejection Fraction (HFNEF) is a more accurate and honest description for patients with this condition.

Area of Science:

  • Cardiology
  • Clinical Medicine
  • Medical Terminology

Background:

  • Many heart failure patients exhibit a normal left ventricular ejection fraction.
  • The nomenclature for this condition has evolved, including Diastolic Heart Failure (DHF) and Heart Failure with Normal Ejection Fraction (HFNEF).
  • The current term, Heart Failure with Preserved Ejection Fraction (HFpEF), is widely used but debated.

Purpose of the Study:

  • To critically evaluate the appropriateness of the term 'Preserved' in HFpEF.
  • To advocate for a more accurate and honest nomenclature for heart failure with normal ejection fraction.

Main Methods:

  • This is a viewpoint article, not based on empirical data.
  • It involves a critical analysis of existing medical terminology and acronyms.

Main Results:

  • The term 'Preserved' in HFpEF is argued to be inappropriate as ejection fraction can decline over time.
  • The small 'p' in HFpEF lacks clear explanation.
  • HFNEF is proposed as the most honest and accurate acronym.

Conclusions:

  • The term HFpEF is misleading and potentially inaccurate.
  • HFNEF offers a more transparent and truthful representation of the condition.
  • Standardizing terminology is crucial for clear clinical communication and research.

Keywords:
diastoleejection fractionheart failure

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