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• W1966172081 endingPage "50" @default.
• W1966172081 startingPage "37" @default.
• W1966172081 abstract "Nearly half of all heart failure (HF) patients have diastolic HF (DHF) or clinical HF with normal or near-normal left ventricular ejection fraction (LVEF). Although the terminology has not been clearly defined, it is increasingly being referred to as HF with preserved ejection fraction (HFPEF). The prevalence of HFPEF increases with age, especially among older women. Identifying HFPEF is important because the etiology, pathogenesis, prognosis, and optimal management may differ from that for systolic HF (SHF) or HF with reduced ejection fraction. The clinical presentation of HF is similar for both SHF and HFPEF. As in SHF, HFPEF is a clinical diagnosis. Once a clinical diagnosis of HF has been made, the presence of HFPEF can be established by confirming a normal or near-normal LVEF, often by an echocardiogram. HFPEF is often associated with a history of hypertension, concentric left ventricular hypertrophy, vascular stiffness, and left ventricular diastolic dysfunction. As in SHF, HFPEF is also associated with poor outcomes. While therapies with angiotensin-converting enzyme inhibitors and beta-blockers improve outcomes in SHF, there is currently no such evidence of their benefits in older HFPEF patients. In this review recent advances in the diagnosis and management of HFPEF in older adults are discussed." @default.
• W1966172081 created "2016-06-24" @default.
• W1966172081 creator A5025693155 @default.
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• W1966172081 creator A5086839901 @default.
• W1966172081 creator A5091070572 @default.
• W1966172081 date "2012-03-13" @default.
• W1966172081 modified "2023-10-11" @default.
• W1966172081 title "Update on diastolic heart failure or heart failure with preserved ejection fraction in the older adults" @default.
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