Heart failure with preserved ejection fraction: Difference between revisions
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{{Infobox medical condition | |||
| name = Heart failure with preserved ejection fraction | |||
| image = [[File:CG_Heart.gif|alt=Animation of a beating heart]] | |||
| caption = Animation of a beating heart | |||
| synonyms = HFpEF, diastolic heart failure | |||
| specialty = [[Cardiology]] | |||
| symptoms = [[Dyspnea]], [[fatigue]], [[edema]] | |||
| onset = Typically in older adults | |||
| duration = Chronic | |||
| causes = [[Hypertension]], [[coronary artery disease]], [[diabetes mellitus]], [[obesity]] | |||
| risks = [[Age]], [[hypertension]], [[obesity]], [[diabetes mellitus]], [[chronic kidney disease]] | |||
| diagnosis = [[Echocardiography]], [[BNP]] levels, clinical evaluation | |||
| differential = [[Heart failure with reduced ejection fraction]], [[pulmonary hypertension]], [[valvular heart disease]] | |||
| treatment = [[Lifestyle modification]], [[diuretics]], [[ACE inhibitors]], [[beta blockers]] | |||
| prognosis = Variable, often chronic and progressive | |||
| frequency = Increasing with aging population | |||
}} | |||
[[File:Wiggers Diagram.png|Heart failure with preserved ejection fraction|thumb|left]] | |||
[[File:End Diastolic Pressure Volume Relationship.jpg|Heart failure with preserved ejection fraction|thumb|left]] | |||
'''Heart failure with preserved ejection fraction''' (HFpEF) is a type of [[heart failure]] in which the [[heart]]'s lower chambers, the ventricles, are unable to fill properly with blood during the diastolic phase (when the heart is relaxed). Despite this, the ejection fraction, or the percentage of blood that is pumped out of the ventricles with each heartbeat, remains within the normal range. This condition is also known as diastolic heart failure. | '''Heart failure with preserved ejection fraction''' (HFpEF) is a type of [[heart failure]] in which the [[heart]]'s lower chambers, the ventricles, are unable to fill properly with blood during the diastolic phase (when the heart is relaxed). Despite this, the ejection fraction, or the percentage of blood that is pumped out of the ventricles with each heartbeat, remains within the normal range. This condition is also known as diastolic heart failure. | ||
==Symptoms== | ==Symptoms== | ||
The symptoms of HFpEF can vary greatly from person to person, but they often include [[shortness of breath]], [[fatigue]], and [[edema]] (swelling) in the legs and ankles. These symptoms are often exacerbated by physical activity. | The symptoms of HFpEF can vary greatly from person to person, but they often include [[shortness of breath]], [[fatigue]], and [[edema]] (swelling) in the legs and ankles. These symptoms are often exacerbated by physical activity. | ||
==Causes== | ==Causes== | ||
The exact cause of HFpEF is not fully understood, but it is often associated with conditions that increase stiffness of the heart muscle, such as [[hypertension]], [[obesity]], and [[diabetes]]. Aging is also a risk factor, as the heart muscle naturally becomes stiffer and less flexible over time. | The exact cause of HFpEF is not fully understood, but it is often associated with conditions that increase stiffness of the heart muscle, such as [[hypertension]], [[obesity]], and [[diabetes]]. Aging is also a risk factor, as the heart muscle naturally becomes stiffer and less flexible over time. | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of HFpEF can be challenging, as the ejection fraction is normal. However, other tests, such as an [[echocardiogram]], can reveal abnormalities in the way the heart fills with blood. Blood tests, chest X-rays, and [[cardiac stress tests]] may also be used. | Diagnosis of HFpEF can be challenging, as the ejection fraction is normal. However, other tests, such as an [[echocardiogram]], can reveal abnormalities in the way the heart fills with blood. Blood tests, chest X-rays, and [[cardiac stress tests]] may also be used. | ||
==Treatment== | ==Treatment== | ||
Treatment for HFpEF focuses on managing symptoms and slowing the progression of the disease. This may include lifestyle changes, such as diet and exercise, and medications to control blood pressure and heart rate. | Treatment for HFpEF focuses on managing symptoms and slowing the progression of the disease. This may include lifestyle changes, such as diet and exercise, and medications to control blood pressure and heart rate. | ||
==Prognosis== | ==Prognosis== | ||
The prognosis for individuals with HFpEF varies widely and depends on many factors, including the severity of symptoms and the presence of other health conditions. However, with appropriate treatment and management, many people with HFpEF can lead active and fulfilling lives. | The prognosis for individuals with HFpEF varies widely and depends on many factors, including the severity of symptoms and the presence of other health conditions. However, with appropriate treatment and management, many people with HFpEF can lead active and fulfilling lives. | ||
==See also== | ==See also== | ||
* [[Heart failure]] | * [[Heart failure]] | ||
* [[Ejection fraction]] | * [[Ejection fraction]] | ||
* [[Diastolic heart failure]] | * [[Diastolic heart failure]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Heart diseases]] | [[Category:Heart diseases]] | ||
[[Category:Medical conditions]] | [[Category:Medical conditions]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 21:17, 9 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics
| Heart failure with preserved ejection fraction | |
|---|---|
| |
| Synonyms | HFpEF, diastolic heart failure |
| Pronounce | N/A |
| Specialty | Cardiology |
| Symptoms | Dyspnea, fatigue, edema |
| Complications | N/A |
| Onset | Typically in older adults |
| Duration | Chronic |
| Types | N/A |
| Causes | Hypertension, coronary artery disease, diabetes mellitus, obesity |
| Risks | Age, hypertension, obesity, diabetes mellitus, chronic kidney disease |
| Diagnosis | Echocardiography, BNP levels, clinical evaluation |
| Differential diagnosis | Heart failure with reduced ejection fraction, pulmonary hypertension, valvular heart disease |
| Prevention | N/A |
| Treatment | Lifestyle modification, diuretics, ACE inhibitors, beta blockers |
| Medication | N/A |
| Prognosis | Variable, often chronic and progressive |
| Frequency | Increasing with aging population |
| Deaths | N/A |
Heart failure with preserved ejection fraction (HFpEF) is a type of heart failure in which the heart's lower chambers, the ventricles, are unable to fill properly with blood during the diastolic phase (when the heart is relaxed). Despite this, the ejection fraction, or the percentage of blood that is pumped out of the ventricles with each heartbeat, remains within the normal range. This condition is also known as diastolic heart failure.
Symptoms[edit]
The symptoms of HFpEF can vary greatly from person to person, but they often include shortness of breath, fatigue, and edema (swelling) in the legs and ankles. These symptoms are often exacerbated by physical activity.
Causes[edit]
The exact cause of HFpEF is not fully understood, but it is often associated with conditions that increase stiffness of the heart muscle, such as hypertension, obesity, and diabetes. Aging is also a risk factor, as the heart muscle naturally becomes stiffer and less flexible over time.
Diagnosis[edit]
Diagnosis of HFpEF can be challenging, as the ejection fraction is normal. However, other tests, such as an echocardiogram, can reveal abnormalities in the way the heart fills with blood. Blood tests, chest X-rays, and cardiac stress tests may also be used.
Treatment[edit]
Treatment for HFpEF focuses on managing symptoms and slowing the progression of the disease. This may include lifestyle changes, such as diet and exercise, and medications to control blood pressure and heart rate.
Prognosis[edit]
The prognosis for individuals with HFpEF varies widely and depends on many factors, including the severity of symptoms and the presence of other health conditions. However, with appropriate treatment and management, many people with HFpEF can lead active and fulfilling lives.
