Key result
Diastolic stress echocardiography unmasks HFpEF in exertional dyspnea despite normal resting filling pressures.
Why the study?
Diagnosing HFpEF is complex in everyday clinical practice, especially when resting echocardiographic and biomarker findings are inconclusive.
Case Report (n=1)
Diastolic stress echocardiography may aid HFpEF diagnosis with normal resting pressures; leaves open prospective validation before broader adoption.
We present the case of a 68-year-old female patient with exertional dyspnea, mild pretibial oedema and echocardiographically verified enlarged left atrium, but with preserved left ventricular systolic function and normal left ventricular filling pressures at rest. NT-proBNP values were within reference values. The diastolic stress echocardiographic test confirms the presence of heart failure with preserved ejection fraction (HFpEF). This case report represents the complexity of diagnosing HFpEF in everyday clinical practice.
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Boskovic et al. (2023) conducted a case report in Heart failure with preserved ejection fraction (HFpEF) (n=1). Diastolic stress echocardiographic test was evaluated on Diagnosis of HFpEF. The diastolic stress echocardiographic test confirmed the diagnosis of heart failure with preserved ejection fraction in a patient with exertional dyspnea and normal resting filling pressures.
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