Pathophysiology of Heart Failure with Preserved Ejection Fraction
Abstract
Heart failure with preserved ejection fraction (HFpEF) is a major public health problem that affects half of all patients with HF. It is rising in prevalence, is associated with high morbidity and mortality, and has very few effective treatments. HFpEF is currently understood as a heterogeneous syndrome originating from the interplay of cardiac and extracardiac abnormalities. The most important pathophysiology in patients with HFpEF is diastolic dysfunction, which presents with impairments in relaxation or increases in chamber stiffness that lead to an increase in left ventricular filling pressures at rest or during exercise that causes dyspnea.
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The essence of HFpEF pathophysiology is the increase of LV filling pressure, meaning that the heart can adequately pump the blood at expense of an elevation of cardiac filling pressures that, if disproportionate during exercise or at rest, are responsible of dyspnea.
“Even if the diastolic dysfunction is the hemodynamic feature of HFpEF, the essence of its pathophysiology is the increase of LV filling pressure, meaning that the heart can adequately pump the blood at expense of an elevation of cardiac filling pressures that, if disproportionate during exercise or at rest, are responsible of dyspnea [102,103].”
From Dysregulated epicardial adipose tissue as a risk factor and potential therapeutic target of heart failure with preserved ejection fraction in diabetes (2022) · cites this paper as [103]
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- Authors
- Youn, J.-C., Ahn, Y., & Jung, H. O.
- Affiliations
- The Catholic University of Korea Seoul St. Mary's Hospital (KR)
- Corresponding author
- Jung, Hae Ok
- Venue
- Heart Failure Clinics
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 17
- Issue
- 3
- Pages
- 327-335
- ISSN
- 1551-7136 (ISSN-L)
- OpenAlex
- W3164267406
- Cited by
- 45
- References
- 56
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 5 · 2023: 9 · 2022: 10 · 2021: 1 · 2020: 1
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Heart Failure Clinics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Research Foundation of Korea
- Ministry of Science, ICT and Future Planning (NRF-2018R1C1B6005448)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- heart failure with preserved ejection fraction, pathophysiology, diastolic dysfunction, left ventricular filling pressure, left ventricular stiffness, dyspnea, extracardiac abnormalities, cardiac anomalies
- MeSH terms
- Heart Failure, Humans, Stroke Volume, Exercise, Treatment Outcome, Disease Management
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