Heart failure with preserved ejection fraction: A distinct heart failure phenotype?

World J Clin Cases. 2022 Nov 16;10(32):12052-12055. doi: 10.12998/wjcc.v10.i32.12052.

Abstract

The present work discusses the serious confusion resulting from the arbitrary nomenclature of heart failure with preserved ejection fraction (HFpEF), the presumed underlying pathophysiology, and the supposed features. A consequence of this misconception is that HFpEF trials have recruited patients with entirely different characteristics rendering the extrapolation of the results of one study to the other infeasible and dramatically affecting diagnosis and treatment.

Keywords: Heart failure; Left ventricular ejection fraction; Nomenclature; Pathophysiology; Phenotypic persistence; Preserved.