Heart Failure w/ Preserved Ejection Fraction

Question 1

when do you dx HFpEF (aka diastolic HF)?

Answer 1

s/s of HF present, BUT echo shows EF > 50% and NO significant valvular abnormalities

Question 2

primary tx goals in HFpEF

Answer 2

• treat underlying etiology (HTN, AF)
• manage exacerbating factors (tachycardia)
• optimize diastolic filling (control HR and avoid decreased effective circulating blood volume)