Unexplained bendopnea (yes, it's a thing) can be a sign of HFpEF, even without other symptoms.
with preserved ejection fraction . Formerly known as diastolic dysfunction, HFpEF is borderline ubiquitous on the medicine units. In the emergency department, if you see a dyspneic patient above the age of 40, HFpEF is at the top of your differential.
too and they've never been admitted for heart failure. Is HFpEF on your differential? My guess is that it's not ; but it should be because it presents that way a third of the time.. If you haven't read it yet, you need to. If you're going to read this column instead, let me highlight some data that flew under my radar — and possibly yours. First, HFpEF diagnoses are increasing; by 2030, 3% of the US population above the age of 18 will receive the diagnosis. That's high.
, normal kidney function, and younger age. Last, 50%-60% of patients with unexplained dyspnea without a defined etiology will have evidence of HFpEF on invasive testing.
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