Key result
Invasive exercise hemodynamics remain the gold standard for diagnosing HFpEF with ~100% sensitivity and specificity.
Why the study?
Does invasive hemodynamic monitoring accurately diagnose heart failure with preserved ejection fraction in patients with unexplained dyspnea?
Does invasive hemodynamic monitoring accurately diagnose heart failure with preserved ejection fraction in patients with unexplained dyspnea?
Invasive hemodynamic monitoring during exercise is the gold standard for diagnosing HFpEF, especially when non-invasive tests are inconclusive.
May support invasive exercise hemodynamics for select HFpEF cases with inconclusive noninvasive tests; leaves open broader adoption pending higher-level evidence.
Introduction Heart failure with preserved ejection fraction (HFpEF) is a complex clinical syndrome that has a negative impact on quality of life and life expectancy of patients, with high hospitalization and mortality rates. HFpEF is a highly prevalent disease, probably due to the increase in the prevalence of common risk factors, such as advanced age, female sex, arterial hypertension, diabetes, renal failure and obesity., It is estimated that nearly half of heart failure patients have preserved ejection fraction, defined as [...]
No takes yet. Share an insight, caveat, or question.
Almeida et al. (2022) conducted a review in Heart failure with preserved ejection fraction (HFpEF). Invasive hemodynamic monitoring (IHM) vs. Non-invasive methods was evaluated. Invasive hemodynamic monitoring during exercise is the gold standard for diagnosing heart failure with preserved ejection fraction, providing nearly 100% sensitivity and specificity.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: