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Heart failure

The many faces of heart failure with preserved ejection fraction

By definition, patients with heart failure and preserved ejection fraction are characterized by a normal or near-normal left ventricular ejection fraction, but marked heterogeneity in the extent of other cardiac structural and functional abnormalities exists. Improved appreciation of this diversity might provide insights into prognosis and therapeutic interventions.

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Figure 1: Mechanisms of HFpEF.

References

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Correspondence to Marc A. Pfeffer.

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Competing interests

Amil S. Shah is or has been a consultant for Novartis Pharma. Marc A. Pfeffer receives honoraria and/or research grants, or serves as a consultant for Affectis, Amgen, Anthera, Baxter, Boston Scientific, Bristol–Myers Squibb, Celladon, Daiichi Sankyo, Eleven Biotherapeutics, GlaxoSmithKline, Hamilton Health Sciences, Novartis, Pfizer Japan, Roche, Sanofi–Aventis, Servier, and the University of Oxford. The Brigham and Women's Hospital has patents for the use of inhibitors of the renin–angiotensin system in selected survivors of myocardial infarction with Novartis Pharmaceuticals AG and Boehringer Ingelheim, GMBH. Marc A. Pfeffer is a coinventor. His share of the licensing agreements is irrevocably transferred to charity.

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Shah, A., Pfeffer, M. The many faces of heart failure with preserved ejection fraction. Nat Rev Cardiol 9, 555–556 (2012). https://doi.org/10.1038/nrcardio.2012.123

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