The Role of Echocardiography in Heart Failure with Preserved Ejection Fraction: What Do We Want from Imaging?

Masaru Obokata, Yogesh N.V. Reddy, Barry A. Borlaug

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Noninvasive imaging, particularly echocardiography, plays a central role in the evaluation for heart failure with preserved ejection fraction (HFpEF). Echocardiography helps to rule in HFpEF among patients with unexplained dyspnea when the diagnosis is uncertain. In established HFpEF, echocardiography provides important insights into pathophysiology and phenotyping, such as isolated left ventricular diastolic dysfunction, left atrial dysfunction, abnormal right ventricular-pulmonary artery coupling, ischemia, or obesity phenotypes. In addition, imaging enables risk stratification for HFpEF. This article provides a critical appraisal of the role of echocardiography in the diagnosis and evaluation of HFpEF.

Original languageEnglish (US)
Pages (from-to)241-256
Number of pages16
JournalHeart Failure Clinics
Volume15
Issue number2
DOIs
StatePublished - Apr 2019

Keywords

  • Diagnosis
  • Diastolic function
  • Echocardiography
  • Filling pressure
  • Heart failure
  • Phenotyping
  • Risk stratification

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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