Multimodality imaging in patients with heart failure and preserved ejection fraction: an expert consensus document of the European Association of Cardiovascular Imaging.
Smiseth, Otto A; Morris, Daniel A; Cardim, Nunoet al.
2022 • In European Heart Journal. Cardiovascular Imaging, 23 (2), p. 34-e61
[en] Nearly half of all patients with heart failure (HF) have a normal left ventricular (LV) ejection fraction (EF) and the condition is termed heart failure with preserved ejection fraction (HFpEF). It is assumed that in these patients HF is due primarily to LV diastolic dysfunction. The prognosis in HFpEF is almost as severe as in HF with reduced EF (HFrEF). In contrast to HFrEF where drugs and devices are proven to reduce mortality, in HFpEF there has been limited therapy available with documented effects on prognosis. This may reflect that HFpEF encompasses a wide range of different pathological processes, which multimodality imaging is well placed to differentiate. Progress in developing therapies for HFpEF has been hampered by a lack of uniform diagnostic criteria. The present expert consensus document from the European Association of Cardiovascular Imaging (EACVI) provides recommendations regarding how to determine elevated LV filling pressure in the setting of suspected HFpEF and how to use multimodality imaging to determine specific aetiologies in patients with HFpEF.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Smiseth, Otto A; Department of Cardiology, Oslo University Hospital, Rikshospitalet, ; Institute for Surgical Research, Oslo University Hospital, Rikshospitalet, ; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Morris, Daniel A; Department of Internal Medicine and Cardiology, Campus Virchow Klinikum, Charité
Cardim, Nuno; Cardiology Department, Hospital da Luz, Av. Lusíada, N° 100, Lisbon, Portugal.
Cikes, Maja; Department of Cardiovascular Diseases, University of Zagreb School of Medicine
Delgado, Victoria; Department of Cardiology, Leiden University Medical Centre, Albinusdreef 2,
Donal, Erwan; Service de Cardiologie Et Maladies Vasculaires Et CIC-IT 1414, CHU Rennes, 35000 ; Université de Rennes 1, LTSI, 35000 Rennes, France.
Flachskampf, Frank A; Department of Medical Sciences, Clinical Physiology and Cardiology, Uppsala
Galderisi, Maurizio; Department of Advanced Biomedical Sciences, Federico II University, Naples,
Gerber, Bernhard L; Division of Cardiology, Department of Cardiovascular Diseases, Cliniques
Klein, Allan L; Section of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland
Knuuti, Juhani; Turku PET Centre, University of Turku, and Turku University Hospital, Turku,
LANCELLOTTI, Patrizio ; Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie ; Gruppo Villa Maria Care and Research, Maria Cecilia Hospital, Cotignola, and
Mascherbauer, Julia; Department of Internal Medicine 3, Karl Landsteiner University of Health
Milicic, Davor; Department of Cardiovascular Diseases, University of Zagreb School of Medicine
Seferovic, Petar; Department of Cardiology, Clinical Center of Serbia, Belgrade, Serbia. ; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Solomon, Scott; Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA,
Edvardsen, Thor; Department of Cardiology, Oslo University Hospital, Rikshospitalet, ; Institute for Surgical Research, Oslo University Hospital, Rikshospitalet, ; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Popescu, Bogdan A; Department of Cardiology, University of Medicine and Pharmacy "Carol Davila",
Reviewers: This document was reviewed by members of the 2018–2020 EACVI
Multimodality imaging in patients with heart failure and preserved ejection fraction: an expert consensus document of the European Association of Cardiovascular Imaging.
