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What is Heart Failure with Mid-range Ejection Fraction? A New Subgroup of Patients with Heart Failure
1Sultan Qaboos University Hospital Muscat, Oman.
Insights
Heart failure with mildly reduced ejection fraction (HFmrEF) is a newly defined class. This review clarifies the clinical characteristics and pathophysiology of HFmrEF patients, previously a grey area in heart failure research.
Area of Science:
- Cardiology
- Heart Failure Research
Background:
- The 2016 European Society of Cardiology guidelines introduced heart failure with mildly reduced ejection fraction (HFmrEF).
- HFmrEF represents a previously under-defined group between HF with reduced ejection fraction (HFrEF) and HF with preserved ejection fraction (HFpEF).
- Patients in this intermediate category were often excluded from studies or misclassified.
Purpose of the Study:
- To define and characterize the newly recognized HFmrEF patient group.
- To explore the clinical characteristics and pathophysiology of HFmrEF.
- To consolidate existing literature on this specific heart failure classification.
Main Methods:
- Literature review and synthesis.
- Analysis of existing research on HFmrEF.
- Clarification of diagnostic criteria and patient profiles.
Main Results:
- HFmrEF bridges the gap between HFrEF and HFpEF.
- This classification allows for targeted research into a distinct patient population.
- Understanding HFmrEF characteristics is crucial for future treatment strategies.
Conclusions:
- The establishment of HFmrEF provides a framework for dedicated research.
- Further investigation into HFmrEF pathophysiology and treatment is warranted.
- This classification improves the precision of heart failure diagnosis and management.
Abstract:
Since the publication of European Society of Cardiology guidelines for the diagnosis and treatment of acute and chronic heart failure (HF) in 2016, a new class of HF has been defined, namely HF with mildly reduced ejection fraction (HFmrEF). Although the name was new, there had long been awareness of the existence of a grey area between the two established classes of HF: HF with reduced ejection fraction and HF with preserved ejection fraction. Patients between these two classes were previously either excluded from HF studies or were included in the other groups. With the definition of this new group of patients, a door has opened for researchers to further explore their characteristics, treatment and outcomes. In this article we aim to clarify the existing literature on the clinical characteristics and pathophysiology of this newly-defined group of patients.
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