Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction

Authors

DOI:

https://doi.org/10.14739/2310-1210.2023.1.270044

Keywords:

chronic heart failure, preserved left ventricular ejection fraction, diagnostics

Abstract

Chronic heart failure remains one of the main causes of mortality and reduced life quality both in Ukraine and around the world. More than 50 % of all patients with chronic heart failure are those with preserved left ventricular ejection fraction.

In current guidelines, the criteria for evaluating heart failure with reduced left ventricular ejection fraction are described properly, but the issue of timely diagnosing chronic heart failure with preserved ejection fraction still remains unsolved.

This review presents four diagnostic algorithms for this condition, which were presented by international scientific societies in recent years: 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure; H2FPEF Score for Heart Failure with Preserved Ejection Fraction (Mayo, 2018); HFA-PEFF diagnostic algorithm: a consensus recommendation from the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) (2019); Multimodality imaging in patients with heart failure and preserved ejection fraction: an expert consensus document of the European Association of Cardiovascular Imaging (2021). The main advantages, limitations and disadvantages of each one are analyzed. All steps of diagnostic evaluation are described in detail.

The review is illustrated with patterns of the latest diagnostic approaches.

Author Biographies

M. Yu. Kolesnyk, Zaporizhzhia State Medical University, Ukraine

MD, PhD, DSc, Professor of the Department of Family Medicine, Therapy, Cardiology and Neurology, Faculty of Postgraduate Education

Ya. Yu. Maistrovych, Zaporizhzhia State Medical University, MESC “University Clinic” of Zaporizhzhia State Medical University, Ukraine

MD, PhD student, Department of Family Medicine, Therapy, Cardiology and Neurology, Faculty of Postgraduate Education

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2023-03-06

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1.
Kolesnyk MY, Maistrovych YY. Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction. Zaporozhye medical journal [Internet]. 2023Mar.6 [cited 2024Apr.24];25(1):72-80. Available from: http://zmj.zsmu.edu.ua/article/view/270044

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Vol. 25 No. 1 (2023): Zaporozhye medical journal

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Review

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