Does My Patient with Multiple Comorbidities Have Heart Failure with Preserved Ejection Fraction, and Does It Matter?

Journal of the American Board of Family Medicine: JABFM

Dmitry Abramov^1¹ 

[1]From the Department of Cardiology, Loma Linda University, Loma Linda, CA^1

关键词: Comorbidity;    Heart Failure;    Stroke Volume;   

DOI  :  10.3122/jabfm.2019.03.180321

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Heart Failure with Preserved Ejection Fraction (HFpEF) is a common diagnosis and accounts for half or more of all cases of heart failure. Despite its high prevalence and significant morbidity, the pathophysiology of HFpEF remains incompletely understood. Patients diagnosed with HFpEF often have significant cardiac and extra-cardiac comorbidities. Given the availability of evidence-based treatments for common comorbidities, but not for HFpEF, the necessity of diagnosing HFpEF among symptomatic elderly patients with multiple comorbidities is unclear. This commentary raises the question of whether the search for the diagnosis of HFpEF should instead be refocused to the management of common comorbidities without necessitating the heart failure diagnosis.

【 授权许可】

CC BY