Current HFpEF diagnostic criteria may overclassify age-related exertional dyspnea as heart failure in older adults, highlighting the need for more specific, congestion-oriented diagnostic approaches.
Current HFpEF diagnostic criteria may overclassify age-related exertional dyspnea as heart failure in older adults, highlighting the need for congestion-oriented diagnostic approaches.
Current HFpEF diagnostic criteria frequently identify age-related and potentially para-physiological cardiac abnormalities rather than a true congestive cardiomyopathy. Many elderly patients currently labeled as HFpEF may instead represent a phenotype of age-related exertional dyspnea with limited intrinsic tendency toward acute heart faiulre. Findings from both the cohort by Presta et al. and our recent acute heart failure cohort support the need for more specific and congestion-oriented diagnostic approaches in older multimorbid populations.
Maria Giulia Bellicini (Tue,) conducted a editorial in Heart failure with preserved ejection fraction (HFpEF). Current HFpEF diagnostic criteria was evaluated. Current HFpEF diagnostic criteria may overclassify age-related exertional dyspnea as heart failure in older adults, highlighting the need for more specific, congestion-oriented diagnostic approaches.