From Primary to Tertiary Care: Expert Position Statements to Guide Heart Failure with Preserved Ejection Fraction Diagnosis

被引:0
作者
Ahmad, Wan Azman Wan [1 ,11 ]
Ghazi, Azmee Mohd [2 ]
Ghapar, Abdul Kahar Abdul [3 ]
Muthusamy, Tamil Selvan [4 ]
Liew, Houng Bang [5 ]
Abidin, Imran Zainal [6 ]
Ong, Mei Lin [7 ]
Ross, Noel Thomas [8 ]
Cham, Yee Ling [9 ]
Ho, Wing Sze [10 ]
Fegade, Mayuresh [10 ]
Chew, David Soon Ping [4 ]
机构
[1] Univ Malaya, Dept Med, Div Cardiol, Med Ctr, Kuala Lumpur, Malaysia
[2] Natl Heart Inst Malaysia, Cardiol Dept, Kuala Lumpur, Malaysia
[3] Serdang Hosp, Cardiol Dept, Sepang, Selangor, Malaysia
[4] Cardiac Vasc Sentral Kuala Lumpur, Cardiol Dept, Kuala Lumpur, Malaysia
[5] Queen Elizabeth Hosp II, Cardiol Dept, Sabah, Malaysia
[6] Univ Malaya, Dept Med, Med Ctr, Kuala Lumpur, Malaysia
[7] Gleneagles Hosp Penang, Cardiol Dept, George Town, Malaysia
[8] Kuala Lumpur Hosp, Med Dept, Kuala Lumpur, Malaysia
[9] Sarawak Heart Ctr, Cardiol Dept, Sarawak, Malaysia
[10] Novartis Corp Malaysia Sdn Bhd, Petaling Jaya, Selangor, Malaysia
[11] Univ Malaya, Med Ctr, Jalan Prof Diraja Ungku Aziz, Kuala Lumpur 59100, Malaysia
来源
MALAYSIAN JOURNAL OF MEDICAL SCIENCES | 2023年 / 30卷 / 01期
关键词
heart failure with preserved ejection fraction; diagnosis; natriuretic peptide; echocardiography; cardiac function; OBSTRUCTIVE PULMONARY-DISEASE; FOCUSED CARDIAC ULTRASOUND; NATRIURETIC PEPTIDE BNP; EMERGENCY-DEPARTMENT; ATRIAL-FIBRILLATION; SYSTOLIC FUNCTION; AMERICAN SOCIETY; HIGH PREVALENCE; MANAGEMENT; PATIENT;
D O I
10.21315/mjms2023.30.1.5
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Globally, heart failure with preserved ejection fraction (HFpEF) is quickly becoming the dominant form of heart failure (HF) in ageing populations. However, there are still multiple gaps and challenges in making a firm diagnosis of HFpEF in many low-to-middle income Asian countries. In response to this unmet need, the Malaysian HFpEF Working Group (MY-HPWG) gathered and reviewed evidence surrounding the use of different diagnostic modalities indicated for patients with HFpEF to identify diagnostic tools that could be conveniently accessed across different healthcare settings. As a result, five recommendation statements were proposed and an accompanying algorithm was developed, with the aim of improving the diagnostic rate of HFpEF. The MY-HPWG recommends using more easily accessible and non-invasive tools, such as natriuretic peptide (NP) biomarkers and basic echocardiogram (ECHO), to ensure timely HFpEF diagnosis in the primary and secondary care settings, and prompt referral to a tertiary care centre for more comprehensive assessments in uncertain cases.
引用
收藏
页码:49 / 66
页数:18
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