Insight into different phenotypic presentations of heart failure with preserved ejection fraction

被引：3

作者：

Bashir, Zubair ^{[1
,5
]}

Chen, Edward W. ^{[1
]}

Tori, Katerina ^{[2
]}

Ghosalkar, Dhairyasheel ^{[3
]}

Aurigemma, Gerard P. ^{[4
]}

Dickey, John B. ^{[4
]}

Haines, Philip ^{[1
]}

机构：

[1] Brown Univ, Warren Alpert Med Sch, Dept Cardiol, Providence, RI USA

[2] Med Coll Wisconsin, Milwaukee, WI USA

[3] Stony Brook Univ Hosp, Dept Med, Div Cardiovasc Med, Stony Brook, NY USA

[4] Univ Massachusetts, Med Sch, Dept Med, Div Cardiovasc Med, Worcester, MA USA

[5] Brown Univ, Warren Alpert Med Sch, 593 Eddy St, Providence, RI 02903 USA

来源：

PROGRESS IN CARDIOVASCULAR DISEASES | 2023年 / 79卷

关键词：

Heart failure with preserved ejection fraction; Echocardiography; Hypertension; Cardiac amyloidosis; Obesity; Chronic kidney disease; CHRONIC KIDNEY-DISEASE; SPECKLE-TRACKING ECHOCARDIOGRAPHY; VENTRICULAR DIASTOLIC FUNCTION; CORONARY-ARTERY-DISEASE; HYPERTROPHIC CARDIOMYOPATHY; DIABETIC CARDIOMYOPATHY; CARDIOVASCULAR-DISEASE; FILLING PRESSURES; EUROPEAN-SOCIETY; TASK-FORCE;

D O I：

10.1016/j.pcad.2023.07.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Heart failure (HF) with preserved ejection fraction (HFpEF) accounts for half of all HF diagnoses, and its prevalence is increasing at an alarming rate. Lately, it has been recognized as a clinical syndrome due to diverse underlying etiology and pathophysiological mechanisms. The classic echocardiographic features of HFpEF have been well described as preserved ejection fraction (>= 50%), left ventricular hypertrophy, and left atrial enlargement. However, echocardiography can play a key role in identifying the principal underlying mechanism responsible for HFpEF in the individual patient. The recognition of different phenotypic presentations of HFpEF (infiltrative, metabolic, genetic, and inflammatory) can assist the clinician in tailoring the appropriate management, and offer prognostic information. The goal of this review is to highlight several key phenotypes of HFpEF and illustrate the classic clinical scenario and echocardiographic features of each phenotype with real patient cases.

引用

页码：80 / 88

页数：9

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