Naing P

Forrester D

Kangaharan N

Muthumala, Aruna

Myint SM

Playford D

2019-07-01

Background: Heart failure with preserved ejection fraction (HFpEF) is an emerging global health problem of which there is limited awareness. HFpEF has a prognosis similar to that of heart failure with reduced ejection fraction (HFrEF) and accounts for approximately half of all patients with heart failure. Objective: The aim of this article is to review HFpEF and its consequences and management, including examples of patients with HFpEF. Discussion: Patients with HFpEF may present with dyspnoea, fluid retention, lethargy and dizziness, making it difficult to differentiate clinically from HFrEF. The risk factors include increasing age, obesity, hypertension, diabetes, chronic kidney disease and obstructive sleep apnoea. The diagnosis requires good clinical acumen combined with echocardiography and elevated plasma B-type natriuretic peptide concentration. Management of HFpEF, especially in later stages, is difficult as there is no evidence-based therapy to date. Prevention is the best strategy. Early recognition and diagnosis are also very important to tackle this global epidemic.

Senior Registrar, Royal Darwin Hospital, NT, and Associate Lecturer, Flinders University, SA

Consultant Respiratory Physician, Royal Darwin Hospital, NT

Consultant Cardiologist, Co-Director of Division of Medicine, Royal Darwin Hospital, NT

Consultant Physician, Royal Darwin Hospital, NT

General Practice Trainee Registrar, Danila Dilba Health Service, NT

Professor of Cardiology, University of Notre Dame Australia (Fremantle), WA

Naing, P., Forrester, D., Kangaharan, N., Muthumala, A., Myint, S. M., & Playford, D. (2019). Heart failure with preserved ejection fraction: “A growing global epidemic.” Australian Journal of General Practice, 48(7), 465–471.

2208-7958

https://hdl.handle.net/10137/12020

48

Heart failure| |Patients Magnetic resonance imaging Doppler echocardiography Health risk assessment

Heart failure with preserved ejection fraction: 'A growing global epidemic'

Journal Article

Publication