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Multimodality imaging in patients with heart failure and preserved ejection fraction: an expert consensus document of

Otto A Smiseth1,2,3, Daniel A Morris4, Nuno Cardim5

  • 1Department of Cardiology, Oslo University Hospital, Rikshospitalet, Sognsvannsveien 20, Oslo, Norway.

European Heart Journal. Cardiovascular Imaging
|November 3, 2021
PubMed

Insights

Heart failure with preserved ejection fraction (HFpEF) affects many patients and has poor prognosis. This expert document offers imaging guidance to identify causes and improve treatment for HFpEF.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Heart failure with preserved ejection fraction (HFpEF) accounts for nearly half of all heart failure (HF) cases.
  • HFpEF is associated with a prognosis nearly as severe as heart failure with reduced ejection fraction (HFrEF).
  • Limited therapeutic options with proven prognostic benefits exist for HFpEF, unlike HFrEF.

Purpose of the Study:

  • To provide recommendations for diagnosing elevated left ventricular (LV) filling pressures in suspected HFpEF.
  • To guide the use of multimodality imaging for identifying specific etiologies in HFpEF patients.

Main Methods:

  • Expert consensus document from the European Association of Cardiovascular Imaging (EACVI).
  • Focus on multimodality imaging techniques.
  • Development of diagnostic criteria for elevated LV filling pressure.

Main Results:

  • HFpEF is a heterogeneous condition with diverse underlying pathologies.
  • Multimodality imaging can differentiate these pathologies.
  • Standardized diagnostic criteria are needed for HFpEF.

Conclusions:

  • Accurate diagnosis of HFpEF requires assessment of LV filling pressures.
  • Multimodality imaging is crucial for determining specific causes of HFpEF.
  • Improved diagnostic approaches may facilitate therapeutic development for HFpEF.

Keywords:
diastoleechocardiographyfilling pressureheart failuremultimodality imaging

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