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.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
Worsening effect of testosterone deficiency on males with heart failure with preserved ejection fraction
BMC Endocrine Disorders Open Access 19 December 2022
-
Myocardial tissue characterization and strain analysis in healthy pregnant women using cardiovascular magnetic resonance native T1 mapping and feature tracking technique
Journal of Cardiovascular Magnetic Resonance Open Access 02 August 2018
-
Early-stage heart failure with preserved ejection fraction in the pig: a cardiovascular magnetic resonance study
Journal of Cardiovascular Magnetic Resonance Open Access 30 September 2016
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Patel, K. et al. Angiotensin receptor blockers and outcomes in real-world older patients with heart failure and preserved ejection fraction: a propensity-matched inception cohort clinical effectiveness study. Eur. J. Heart Fail. http://dx.doi.org/10.1093/eurjhf/hfs101.
Dougherty, A. H., Naccarelli, G. V., Gray, E. L., Hicks, C. H. & Goldstein, R. A. Congestive heart failure with normal systolic function. Am. J. Cardiol. 54, 778–782 (1984).
Lam, C. S. P., Donal, E., Kraigher-Krainer, E. & Vasan, R. S. Epidemiology and clinical course of heart failure with preserved ejection fraction. Eur. J. Heart Fail. 13, 18–28 (2011).
Borlaug, B. A. & Paulus, W. J. Heart failure with preserved ejection fraction: pathophysiology, diagnosis, and treatment. Eur. Heart J. 32, 670–679 (2011).
McMurray, J. J. V. et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur. Heart J. 33, 1787–1847 (2012).
Solomon, S. D. et al. Influence of nonfatal hospitalization for heart failure on subsequent mortality in patients with chronic heart failure. Circulation 116, 1482–1487 (2007).
Zile, M. R. et al. Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction. Circulation 124, 2491–2501 (2011).
Lam, C. S. P. et al. Cardiac structure and ventricular–vascular function in persons with heart failure and preserved ejection fraction from Olmsted County, Minnesota. Circulation 115, 1982–1990 (2007).
Persson, H. et al. Diastolic dysfunction in heart failure with preserved systolic function: need for objective evidence: results from the CHARM Echocardiographic Substudy—CHARMES. J. Am. Coll. Cardiol. 49, 687–694 (2007).
Redfield, M. M. et al. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA 289, 194–202 (2003).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
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.
Rights and permissions
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrcardio.2012.123
This article is cited by
-
Worsening effect of testosterone deficiency on males with heart failure with preserved ejection fraction
BMC Endocrine Disorders (2022)
-
Phenotypes of Cardiovascular Diseases: Current Status and Future Perspectives
Phenomics (2021)
-
Myocardial tissue characterization and strain analysis in healthy pregnant women using cardiovascular magnetic resonance native T1 mapping and feature tracking technique
Journal of Cardiovascular Magnetic Resonance (2018)
-
Potential impact of SGLT2 inhibitors on left ventricular diastolic function in patients with diabetes mellitus
Heart Failure Reviews (2018)
-
Impact of right ventricular distensibility on congestive heart failure with preserved left ventricular ejection fraction in the elderly
Heart and Vessels (2018)