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Pathogenesis and Therapeutic Advances in Heart Failure with Preserved Ejection Fraction
Xin Fan1,2, Jie Ma1,2, Xu Zhao1
1Department of Cardiology, Lanzhou University Second Hospital, 730030 Lanzhou, Gansu, China.
Reviews in Cardiovascular Medicine
|February 9, 2026
Summary
Heart failure with preserved ejection fraction (HFpEF) is common. This review details HFpEF molecular mechanisms like inflammation and metabolic issues, and discusses new treatments for this heart condition.
Area of Science:
- Cardiology
- Molecular Biology
- Pathophysiology
Background:
- Heart failure with preserved ejection fraction (HFpEF) is the predominant type of heart failure.
- Research is shifting towards molecular mechanisms underlying HFpEF.
- Key areas of focus include inflammation, oxidative stress, metabolic dysregulation, and cardiac compliance issues.
Purpose of the Study:
- To review recent advancements in understanding HFpEF pathogenesis.
- To summarize emerging therapeutic strategies for HFpEF.
- To provide insights for future diagnostic and management approaches.
Main Methods:
- Literature review of recent studies on HFpEF.
- Synthesis of information on molecular mechanisms.
- Analysis of novel treatment strategies.
Main Results:
- HFpEF involves complex molecular pathways beyond traditional pathophysiology.
- Inflammation, oxidative stress, and metabolic dysregulation are critical.
- Impaired cardiac compliance, including hypertrophy and fibrosis, is a hallmark.
Conclusions:
- Novel therapeutic targets are emerging based on molecular insights.
- Integrated approaches combining conventional and novel therapies are needed.
- Further research is crucial for improved HFpEF diagnosis and management.
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