Diastolic – ABC CARDIOL

ABCIC

Editorial

Decoding the Diagnostic Dilemmas of Heart Failure with Preserved Ejection Fraction: Applying the Universal Definition for Enhanced Diagnosis Standardization

Implementing the Universal Definition of HF for HFpEF Diagnosis

The clinical diagnosis of HFpEF is straightforward when a patient presents with typical symptoms and signs of left and/or right congestive HF with LVEF ≥50%, along with echocardiography abnormalities and elevated NP.

However, patients with HFpEF may not display this classical HF presentation. Indeed, a significant proportion of patients (∼50%) will only display symptoms during exertion, without current or previous evidence of fluid overload on clinical examination or prior hospitalization for decompensated HF (). This exercise-induced left atrial hypertension phenotype makes diagnosis challenging in clinical practice, with the Framingham criteria showing limited sensitivity.^,

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ABC

Anatomopathological Session

Case 6/2014 – A Case of a 61-Year-old Woman with Diastolic Heart Failure

Fabio Grunspun Pitta et al. Natalia Quintella Sangiorgi Olivetti Diego Simões Peniche Andrea Maria Bercht … Paulo Sampaio Gutierrez Luiz Alberto Benvenuti

Clinical aspects

The patient was a 61-year-old woman who developed HF in March 2013, with initial improvement after introduction of a specific treatment. However, 5 months later, she was admitted to the emergency room with decompensated underlying disease, requiring hospitalization.

HF is a complex syndrome resulting from any structural or functional damage to ventricular filling or ejection volume. The cardinal manifestations of HF are dyspnea and fatigue, which in turn may cause exercise intolerance, fluid retention, and pulmonary and systemic congestion. There is no specific diagnostic test for HF because it is primarily a syndrome of clinical diagnosis based on the history and physical exam. The importance of an active search for risk factors or previous cardiovascular disease should be emphasized in determining the etiology for this syndrome.

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Decoding the Diagnostic Dilemmas of Heart Failure with Preserved Ejection Fraction: Applying the Universal Definition for Enhanced Diagnosis Standardization

Implementing the Universal Definition of HF for HFpEF Diagnosis

Case 6/2014 – A Case of a 61-Year-old Woman with Diastolic Heart Failure

Clinical aspects

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Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)