The current clinical and echocardiographic steps required for the recognition of heart failure with preserved ejection fraction (HFpEF) have contributed to the heterogeneity of this diagnostic group. There are three clinical manifestations-acute pulmonary edema, and exertional dyspnea with and without raised filling pressure. Additional steps in the characterization of HFpEF might include documentation of impaired functional capacity, the use of alternative systolic function parameters including global longitudinal strain, and new markers of left ventricular filling pressure and diastolic dysfunction. The diastolic stress test-performed invasively or noninvasively-may be particularly valuable for improving the attribution of dyspnea to raised left ventricular filling pressure in patients with normal filling pressure at rest.
|Number of pages||5|
|Journal||Heart and Metabolism|
|Publication status||Published - 1 Nov 2016|
- Diastolic dysfunction
- Heart failure with preserved ejection fraction