Heart failure preserved ejection fraction (HFpEF): an integrated and strategic review

Verfasser / Beitragende:
[Carolyn Lekavich, Debra Barksdale, Virginia Neelon, Jia-Rong Wu]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/6(2015-11-01), 643-653
Format:
Artikel (online)
ID: 605478783
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024 7 0 |a 10.1007/s10741-015-9506-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10741-015-9506-7 
245 0 0 |a Heart failure preserved ejection fraction (HFpEF): an integrated and strategic review  |h [Elektronische Daten]  |c [Carolyn Lekavich, Debra Barksdale, Virginia Neelon, Jia-Rong Wu] 
520 3 |a In the USA, 5.7 million Americans ≥20years have heart failure (HF) and heart failure preserved ejection fraction (HFpEF) accounts for at least 50% of all hospital admissions for HF. HFpEF has no single guideline for diagnosis or treatment, the patient population is heterogeneously and inconsistently described, and longitudinal studies are lacking. The primary aims of this manuscript were to present an integrated review of the current state of the science on HFpEF, demonstrate gaps in the literature and provide the rationale for the design and implementation of future research to yield insights into the syndrome of HFpEF. The scientific literature was comprehensively reviewed on HFpEF pathophysiology, patient characteristics, diagnostic criteria, echocardiography biomarkers, treatment approaches and outcomes. Discrepancies in patient characteristics, diagnostic criteria, study methods and echocardiographic biomarkers were identified. This review indicates that no single test or guideline exists for diagnosis or treatment for HFpEF; heterogeneity of the population is complicated by multiple comorbidities that factor into etiology, race and age are likely important factors that define the phenotype, and limited information is available that designates early markers of impending HFpEF. Studies designed and adequately powered to study the impact of race and age along with consistent use of HFpEF diagnostic criteria are critically needed to further incident HFpEF research. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Heart failure preserved ejection fraction (HFpEF)  |2 nationallicence 
690 7 |a Diastolic heart failure  |2 nationallicence 
690 7 |a Treatment  |2 nationallicence 
690 7 |a Diagnostic guidelines  |2 nationallicence 
700 1 |a Lekavich  |D Carolyn  |u Division of Cardiovascular Medicine, Duke University Medical Center, Duke North, Erwin Road, Suite 7400, DUMC Box 3126, 27710, Durham, NC, USA  |4 aut 
700 1 |a Barksdale  |D Debra  |u School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA  |4 aut 
700 1 |a Neelon  |D Virginia  |u Biobehavioral Laboratory, School of Nursing, University of North Carolina, Chapel Hill, NC, USA  |4 aut 
700 1 |a Wu  |D Jia-Rong  |u School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/6(2015-11-01), 643-653  |x 1382-4147  |q 20:6<643  |1 2015  |2 20  |o 10741 
856 4 0 |u https://doi.org/10.1007/s10741-015-9506-7  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lekavich  |D Carolyn  |u Division of Cardiovascular Medicine, Duke University Medical Center, Duke North, Erwin Road, Suite 7400, DUMC Box 3126, 27710, Durham, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Barksdale  |D Debra  |u School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Neelon  |D Virginia  |u Biobehavioral Laboratory, School of Nursing, University of North Carolina, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wu  |D Jia-Rong  |u School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/6(2015-11-01), 643-653  |x 1382-4147  |q 20:6<643  |1 2015  |2 20  |o 10741