Key result
This commentary suggests that for elderly patients with multiple comorbidities, clinical focus should shift from diagnosing HFpEF to managing the underlying comorbidities that cause their symptoms.
This commentary suggests that in symptomatic elderly patients with multiple comorbidities, focusing on the management of conditions like obesity, atrial fibrillation, and hypertension may be more clinically relevant than pursuing a formal diagnosis of HFpEF.
Heart Failure with Preserved Ejection Fraction (HFpEF) is a common diagnosis and accounts for half or more of all cases of heart failure. Despite its high prevalence and significant morbidity, the pathophysiology of HFpEF remains incompletely understood. Patients diagnosed with HFpEF often have significant cardiac and extra-cardiac comorbidities. Given the availability of evidence-based treatments for common comorbidities, but not for HFpEF, the necessity of diagnosing HFpEF among symptomatic elderly patients with multiple comorbidities is unclear. This commentary raises the question of whether the search for the diagnosis of HFpEF should instead be refocused to the management of common comorbidities without necessitating the heart failure diagnosis.
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Dmitry Abramov (2019) conducted an editorial in Heart Failure with Preserved Ejection Fraction (HFpEF). This commentary suggests that for elderly patients with multiple comorbidities, clinical focus should shift from diagnosing HFpEF to managing the underlying comorbidities that cause their symptoms.
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