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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.
Abstract:
Heart failure (HF) with preserved ejection fraction (HFpEF) is a global health care problem, with diagnostic difficulty, limited treatment options and high morbidity and mortality rates. The prevalence of HFpEF is increasing because of the aging population and the increasing burden of cardiac and metabolic comorbidities, such as systemic hypertension, diabetes, chronic kidney disease, and obesity. The knowledge base is derived primarily from the United States and Europe, and data from Asian countries, including Japan, remain limited. Given that phenotypic differences may exist between Japanese and Western patients with HFpEF, careful characterization may hold promise to deliver new therapy specific to the Japanese population. In this review, we summarize the current knowledge regarding the epidemiology, pathophysiology and diagnosis of and the potential therapies for HFpEF in Japan.
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