Patient phenotype profiling in heart failure with preserved ejection fraction to guide therapeutic decision making. A scientific statement of the Heart Failure Association, the European Heart Rhythm Association of the European Society of Cardiology, and the European Society of Hypertension.


Journal

European journal of heart failure
ISSN: 1879-0844
Titre abrégé: Eur J Heart Fail
Pays: England
ID NLM: 100887595

Informations de publication

Date de publication:
07 2023
Historique:
revised: 08 05 2023
received: 07 02 2023
accepted: 09 05 2023
medline: 9 8 2023
pubmed: 18 7 2023
entrez: 18 7 2023
Statut: ppublish

Résumé

Heart failure with preserved ejection fraction (HFpEF) represents a highly heterogeneous clinical syndrome affected in its development and progression by many comorbidities. The left ventricular diastolic dysfunction may be a manifestation of various combinations of cardiovascular, metabolic, pulmonary, renal, and geriatric conditions. Thus, in addition to treatment with sodium-glucose cotransporter 2 inhibitors in all patients, the most effective method of improving clinical outcomes may be therapy tailored to each patient's clinical profile. To better outline a phenotype-based approach for the treatment of HFpEF, in this joint position paper, the Heart Failure Association of the European Society of Cardiology, the European Heart Rhythm Association and the European Hypertension Society, have developed an algorithm to identify the most common HFpEF phenotypes and identify the evidence-based treatment strategy for each, while taking into account the complexities of multiple comorbidities and polypharmacy.

Identifiants

pubmed: 37461163
doi: 10.1002/ejhf.2894
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

936-955

Informations de copyright

© 2023 European Society of Cardiology.

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Auteurs

Stefan D Anker (SD)

Department of Cardiology, Deutsches Herzzentrum der Charité (Campus CVK), Berlin Institute of Health Center for Regenerative Therapies (BCRT), and German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin, Berlin, Germany.

Muhammad Shariq Usman (MS)

Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

Markus S Anker (MS)

Deutsches Herzzentrum der Charité, Klinik fär Kardiologie, Angiologie und Intensivmedizin (Campus CBF), Berlin Institute of Health Center for Regenerative Therapies (BCRT), and German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin Berlin, Berlin, Germany.

Javed Butler (J)

Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Baylor Scott and White Research Institute, Dallas, TX, USA.

Michael Böhm (M)

Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Saarland University, Homburg, Germany.

William T Abraham (WT)

Ohio State University Wexner Medical Center, Columbus, OH, USA.

Marianna Adamo (M)

Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.

Vijay K Chopra (VK)

Max Superspeciality Hospital, New Delhi, India.

Mariantonietta Cicoira (M)

Division of Cardiology, Magalini Hospital, Verona, Italy.

Francesco Cosentino (F)

Department of Medicine, Karolinska Institutet, and Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.

Gerasimos Filippatos (G)

National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.

Ewa A Jankowska (EA)

Institute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.

Lars H Lund (LH)

Department of Medicine, Karolinska Institutet, and Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.

Brenda Moura (B)

Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal; Serviço de Cardiologia, Hospital das Forças Armadas-Pólo do Porto, Porto, Portugal.

Wilfried Mullens (W)

Department of Cardiology, Ziekenhuis Oost Limburg, Genk and Faculty of Medicine and Life Sciences, University Hasselt, Belgium.

Burkert Pieske (B)

Berlin-Brandenburgische Gesellschaft für Herz-Kreislauferkrankungen (BBGK), Berlin, Germany.

Piotr Ponikowski (P)

Institute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
Cardiology Department, Wroclaw Medical University, Wroclaw, Poland.

Jose R Gonzalez-Juanatey (JR)

Cardiology Department, Hospital Clínico Universitario, Santiago de Compostela, IDIS, CIBERCV, Santiago de Compostela, Spain.

Amina Rakisheva (A)

Department of Cardiology, Scientific Institution of Cardiology and Internal Diseases, Almaty, Kazakhstan.

Gianluigi Savarese (G)

Department of Medicine, Karolinska Institutet, and Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.

Petar Seferovic (P)

Department Faculty of Medicine, University of Belgrade, Belgrade & Serbian Academy of Sciences and Arts, Belgrade, Serbia.

John R Teerlink (JR)

Section of Cardiology, San Francisco Veterans Affairs Medical Center and School of Medicine, University of California, San Francisco, CA, USA.

Carsten Tschöpe (C)

Department of Cardiology, Deutsches Herzzentrum der Charité (Campus CVK), Berlin Institute of Health Center for Regenerative Therapies (BCRT), and German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin, Berlin, Germany.
Department of Cardiology, Angiology and Intensive Care Medicine (CVK), Charité Universitätsmedizin, Berlin, Germany.

Maurizio Volterrani (M)

Cardio-Pulmonary Department, San Raffaele Open University of Rome; Exercise Science and Medicine, IRCCS San Raffaele - Rome, Italy.

Stephan von Haehling (S)

Department of Cardiology, University Medcine Göttingen, Göttingen, Germany.

Jian Zhang (J)

Fuwai Hospital Chinese Academic of Medical Science, Beijing, China.

Yuhui Zhang (Y)

Fuwai Hospital Chinese Academic of Medical Science, Beijing, China.

Johann Bauersachs (J)

Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.

Ulf Landmesser (U)

Deutsches Herzzentrum der Charité, Klinik fär Kardiologie, Angiologie und Intensivmedizin (Campus CBF), Berlin Institute of Health Center for Regenerative Therapies (BCRT), and German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin Berlin, Berlin, Germany.
Berlin Institute of Health at Charité, Berlin, Germany.

Shelley Zieroth (S)

Section of Cardiology, Max Rady College of Medicine, University of Manitoba Winnipeg, Winnipeg, Manitoba, Canada.

Konstantinos Tsioufis (K)

1st Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece.

Antoni Bayes-Genis (A)

Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, CIBERCV, Barcelona, Spain.

Ovidiu Chioncel (O)

Emergency Institute for Cardiovascular Diseases 'Prof. C.C. Iliescu', University of Medicine Carol Davila, Bucharest, Romania.

Felicita Andreotti (F)

Fondazione Policlinico Universitario Gemelli IRCCS, Rome, Italy.
Catholic University Medical School, Rome, Italy.

Enrico Agabiti-Rosei (E)

Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.

Jose L Merino (JL)

Department of Cardiology, La Paz University Hospital, IdiPaz, Universidad Autonoma, Madrid, Spain.

Marco Metra (M)

Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.

Andrew J S Coats (AJS)

Heart Research Institute, Newtown, NSW, Australia.

Giuseppe M C Rosano (GMC)

Cardio-Pulmonary Department, San Raffaele Open University of Rome; Exercise Science and Medicine, IRCCS San Raffaele - Rome, Italy.

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