Journal
INTERNATIONAL JOURNAL OF CARDIOLOGY
Volume 168, Issue 2, Pages 716-722Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ijcard.2013.05.006
Keywords
Heart failure; Preserved ejection fraction; Diastolic function; Exercise testing
Categories
Funding
- Interuniversity Cardiology Institute Netherlands, Utrecht, The Netherlands
- National Health and Medical Research Council of Australia
Ask authors/readers for more resources
Approximately half of all patients with heart failure (HF) have a preserved left ventricular ejection fraction (HFPEF) and the prevalence of this form of HF is increasing. Although dyspnoea on exertion and diminished functional capacity is the key symptom of patients with HFPEF, current diagnostic criteria focus on resting indices of ventricular function. Specifically, current proposed criteria for the diagnosis of HFPEF, include clinical signs of HF; normal left ventricular systolic function; and evidence of abnormal diastolic performance and/or altered natriuretic peptides. By contrast, recent studies demonstrate that the key pathophysiologic features of HFPEF may not be evident at rest, and can only be detected during exertion. This review addresses the potential role of exercise testing using invasive haemodynamic or echocardiographic assessment in patients with suspected HFPEF in which current diagnostic criteria are not met. (c) 2013 Elsevier Ireland Ltd. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available