Monitoring Changes in Ejection Fraction in Patients With Heart Failure and Mid-Range Ejection Fraction

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Heart Failure With Preserved, Mid-Range, and Reduced Ejection Fraction

T he European Society of Cardiology (ESC) recently published new guidelines for the diagnosis and treatment of acute and chronic heart failure (HF). 1 The new nomenclature includes separating patients with HF into 3 distinct groups depending on the left ventricular ejection fraction (LVEF): preserved LVEF (≥50%), mid-range LVEF (40–49%), and reduced LVEF (≤40%). Although there have been several...

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Understanding Heart Failure With Mid-Range Ejection Fraction.

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Response to letter regarding article, "Longitudinal changes in ejection fraction in heart failure patients with preserved and reduced ejection fraction".

BACKGROUND Heart failure (HF) can occur in patients with preserved (HFpEF, EF≥50%) or reduced (HFrEF, EF<50%) ejection fraction (EF), but changes in EF after HF diagnosis are not well described. METHODS AND RESULTS Among a community cohort of incident HF patients diagnosed from 1984 to 2009 in Olmsted County, Minnesota, we obtained all EFs assessed by echocardiography from initial HF diagnosi...

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Irbesartan in patients with heart failure and preserved ejection fraction.

BACKGROUND Approximately 50% of patients with heart failure have a left ventricular ejection fraction of at least 45%, but no therapies have been shown to improve the outcome of these patients. Therefore, we studied the effects of irbesartan in patients with this syndrome. METHODS We enrolled 4128 patients who were at least 60 years of age and had New York Heart Association class II, III, or ...

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Heart failure is highly prevalent with more than 50% of cases being patients with a preserved ejection fraction (HFPEF), a figure that is projected to increase due to the changing risk factor landscape, in particular the ageing population. Overall mortality is similar to patients with heart failure with reduced ejection fraction (HFREF), as are the rates of hospitalisation. Patients with HFPEF ...

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ژورنال

عنوان ژورنال: Circulation Journal

سال: 2018

ISSN: 1346-9843,1347-4820

DOI: 10.1253/circj.cj-18-0663