Epidemiology, Pathophysiology, Diagnosis, and Therapy of Heart Failure With Preserved Ejection Fraction in Japan

Masaru Obokata1, Hidemi Sorimachi1, Tomonari Harada1

  • 1Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.

Insights

Heart failure with preserved ejection fraction (HFpEF) is a growing global concern. This review focuses on HFpEF in Japan, exploring its unique characteristics and potential for tailored therapies.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Public Health

Background:

  • Heart failure with preserved ejection fraction (HFpEF) presents significant global health challenges.
  • Increasing prevalence is linked to aging populations and comorbidities like hypertension, diabetes, and obesity.
  • Limited data exists on HFpEF specifically within Asian populations, including Japan.

Purpose of the Study:

  • To review current knowledge on HFpEF epidemiology, pathophysiology, and diagnosis in Japan.
  • To explore potential therapeutic strategies tailored to the Japanese population.
  • To address potential phenotypic differences in Japanese HFpEF patients compared to Western cohorts.

Main Methods:

  • Literature review of existing studies on HFpEF.
  • Analysis of epidemiological data from Japan.
  • Synthesis of current understanding of HFpEF pathophysiology and diagnosis.
  • Evaluation of potential treatment options.

Main Results:

  • HFpEF is an increasing health issue in Japan, influenced by demographic and comorbidity trends.
  • Potential phenotypic variations between Japanese and Western HFpEF patients warrant further investigation.
  • Current treatment strategies may need adaptation for the Japanese population.

Conclusions:

  • Understanding HFpEF in Japan is crucial due to potential population-specific differences.
  • Further research into Japanese HFpEF phenotypes could lead to targeted therapies.
  • Addressing HFpEF in Japan requires a nuanced approach considering local epidemiology and patient characteristics.

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