Heart failure with preserved ejection fraction. Can we improve the prognosis of our patients?

Autor: Jorge Thierer
Jazyk: Spanish; Castilian
Rok vydání: 2022
Předmět:
Zdroj: Revista de la Sociedad Argentina de Diabetes, Vol 56, Iss 3Sup, Pp 43-43 (2022)
Druh dokumentu: article
ISSN: 0325-5247
2346-9420
DOI: 10.47196/diab.v56i3Sup.583
Popis: HF with preserved EF is defined as HF with left ventricular EF ≥ 50%. Patients with slightly impaired EF, between 41 and 49%, are usually considered together with EF ≥ 50% in randomized studies. Unlike HF with depressed EF (≤40%) in which different interventions (neurohormonal antagonists, electrical therapy) have been shown to improve prognosis, until recently we did not have evidence from a randomized study in the context of EF >40%. Practice guidelines generally recommended evaluating the etiology, considering comorbidities, and controlling accompanying conditions (heart rate, blood pressure, atrial fibrillation, ischemia). In the subgroup of patients with EF between 41% and 49%, there was a IIb indication for neurohormonal antagonists in the 2021 ESC HF guideline. (1)
Databáze: Directory of Open Access Journals