Due to the lack of effective pharmacological therapies, the management and prevention of heart failure with preserved ejection fraction should focus on lifestyle modifications using the AHA's Life's Simple 7 measures.
Does the application of the AHA 'Life's Simple 7' measures improve the prevention and management of HFpEF?
Applying the AHA 'Life's Simple 7' framework offers a practical, patient-centered approach to mitigating risk factors and managing HFpEF.
Heart failure with preserved ejection fraction (HFpEF) is a complex clinical syndrome that constitutes nearly half of all heart failure cases. Because of lack of effective pharmacological targets to improve outcomes, the emphasis of the management and prevention of HFpEF should be through control of risk factors. This review will use the framework proposed by the American Heart Association on 7 simple measures ("Life's Simple 7") that involves diet and lifestyle changes to achieve ideal cardiovascular health. These 7 measures include (1) smoking, (2) obesity, (3) exercise, (4) diet, (5) blood pressure, (6) cholesterol, and (7) glucose control, which can help control the most common comorbidities and risk factors associated with HFpEF, such as hypertension, diabetes, and obesity. Therefore, application of these 7 simple measures would be a patient-centered and cost-effective way of prevention and management of HFpEF.
Cilia et al. (2017) conducted a review in Heart failure with preserved ejection fraction (HFpEF). Lifestyle modifications (Life's Simple 7) was evaluated. Due to the lack of effective pharmacological therapies, the management and prevention of heart failure with preserved ejection fraction should focus on lifestyle modifications using the AHA's Life's Simple 7 measures.