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

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 evaluatin...

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Main Authors: Ya. Yu. Maistrovych, M. Yu. Kolesnyk
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2023-03-01
Series:Zaporožskij Medicinskij Žurnal
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Online Access:http://zmj.zsmu.edu.ua/article/view/270044/270103
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author Ya. Yu. Maistrovych
M. Yu. Kolesnyk
author_facet Ya. Yu. Maistrovych
M. Yu. Kolesnyk
author_sort Ya. Yu. Maistrovych
collection DOAJ
description 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.
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spelling doaj-art-91b1f56302434d40affe0170aa57f1af2025-08-20T01:58:19ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102023-03-01251728010.14739/2310-1210.2023.1.270044Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fractionYa. Yu. Maistrovych0https://orcid.org/0000-0001-9005-2864M. Yu. Kolesnyk1https://orcid.org/0000-0001-7566-1899Zaporizhzhia State Medical University, UkraineZaporizhzhia State Medical University, UkraineChronic 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.http://zmj.zsmu.edu.ua/article/view/270044/270103chronic heart failurepreserved left ventricular ejection fractiondiagnostics
spellingShingle Ya. Yu. Maistrovych
M. Yu. Kolesnyk
Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction
Zaporožskij Medicinskij Žurnal
chronic heart failure
preserved left ventricular ejection fraction
diagnostics
title Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction
title_full Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction
title_fullStr Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction
title_full_unstemmed Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction
title_short Current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction
title_sort current diagnostic algorithms for chronic heart failure with preserved left ventricular ejection fraction
topic chronic heart failure
preserved left ventricular ejection fraction
diagnostics
url http://zmj.zsmu.edu.ua/article/view/270044/270103
work_keys_str_mv AT yayumaistrovych currentdiagnosticalgorithmsforchronicheartfailurewithpreservedleftventricularejectionfraction
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