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August 13, 2026Cardiology DiscoveryOpen Access

Narrative review underscores phenotype-based classification as a framework for personalized therapy in HFpEF.

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Why the study?

Heart failure remains a leading cause of morbidity and mortality worldwide, characterized by rising prevalence and substantial heterogeneity in pathophysiology and treatment response.

Population

Adults with chronic heart failure

Design

Narrative review

Key result

This narrative review outlines heart failure pathophysiology and underscores phenotype-based classification, particularly for HFpEF, as a framework for personalized therapy.

Discussion

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Overview

Offers comprehensive HF pathophysiology synthesis; leaves open phenotype-specific therapy trials before practice change.

Key Points

  • The aim is to analyze the pathophysiology of heart failure and its classification based on different phenotypes.
  • Conducted a narrative review on chronic heart failure pathophysiology and classification.
  • Examined mechanisms including neurohumoral activation and structural remodeling.
  • Classified heart failure based on left ventricular ejection fraction and identified distinct clinical phenotypes.
  • Outlined complex mechanisms leading to heart failure including inflammation and cardiac aging.
  • Distinguished multiple heart failure phenotypes, emphasizing their unique pathophysiological features for personalized therapy.
  • Discussed emerging agents that show phenotype-specific efficacy.

Structured PICO

P
Population
Adults with chronic heart failure

This review provides a comprehensive framework for understanding heart failure pathophysiology and highlights phenotype-based classification, particularly for HFpEF, to guide personalized therapy.

Cite This Study

A 2026 study conducted a review in Heart failure. This narrative review outlines heart failure pathophysiology and underscores phenotype-based classification, particularly for HFpEF, as a framework for personalized therapy.

synapsesocial.com/papers/6a7d75e62b0e0cff3f63edd6https://doi.org/10.1097/cd9.0000000000000210
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