Does HFpEF cause AFib?
Conclusions—In patients with HFpEF, a history of AFib was common and independently associated with increased risk of stroke, regardless of whether AFib was present on ECG. Patients with HFpEF and a history of AFib should be considered at risk.
What is HFpEF in cardiology?
Heart failure with preserved ejection fraction (HFpEF), also referred to as diastolic heart failure, is characterized by signs and symptoms of heart failure and a left ventricular ejection fraction (LVEF) greater than 50%.
Is HFpEF diastolic or systolic?
Previously, HFpEF was termed “diastolic HF” and HFrEF was described as “systolic HF.” HFpEF should be distinguished from other causes of HF with an LVEF ≥50 percent such as valvular heart disease, pericardial disease, and high output HF (table 1).
What causes HFpEF?
HFpEF happens because the left ventricle’s muscle becomes too stiff or thickened. To compensate for stiff heart muscle, your heart has to increase the pressure inside the ventricle to properly fill the ventricle.
Is there a rhythm control for HFpEF patients?
Whether rhythm control would be of benefit in patients with HFpEF and atrial fibrillation remains unclear.
Why is atrial fibrillation so common in HFpEF patients?
Atrial fibrillation is extremely common in HFpEF (seen at some point in two-thirds of patients) and poorly tolerated because of the importance of LA contractile function in maintaining adequate LV chamber filling. Pulmonary hypertension is common in patients with HFpEF.
How are HFpEF patients affected by cardiometabolic abnormalities?
Impaired myocardial energetics in HFpEF patients suggest that targeting cardiometabolic functional abnormalities may be an important approach in these patients.
How is HFpEF treated in patients with hypertension?
Patients with HFpEF and symptoms of volume overload should be treated with diuretics.31 Hypertension should be treated according to appropriate guidelines.3 Although RCTs of several medications showed fewer heart failure hospitalizations, this benefit was offset by increases in hospitalizations for other reasons.
