Heart failure with preserved ejection fraction (HFpEF): A missed diagnosis

Chaudury Meshkat Ahmed
{"title":"Heart failure with preserved ejection fraction (HFpEF): A missed diagnosis","authors":"Chaudury Meshkat Ahmed","doi":"10.3329/bjm.v34i20.66117","DOIUrl":null,"url":null,"abstract":"One of the most common cause for “unexplained shortness of breath” is heart failure with preserved ejection fraction (HFpEF), that is frequently missed by the physician. Untill the wide use of BNP/NT ProBNP the term even remained unfamaliar to many of them. More over the concepts that, to make a diagnosis of HFpEF, a diastolic dysfunction is mandatory accounts for another cause of missing the diagnosis of HFpEF.The reality is Half of the all forms of heart failure is attributed to HFpEF. The diagnosis based on : the symptom of heart failure, the raised BNP/NT Pro BNP and any of the two of the either left venticular hypertrophy (LVH)/ left atrial enlargement (LAE) or features of diastolic dysfunction( as assessed by an echocadiography).The first criteria that is the symptom of heart failure is often non specific and frequently difficult to distinguish from other clinical conditions. The levels of BNP/NT ProBNP also needed to be defined according to various clinical conditions where there may be raised level of this biomarkers in the absence of heart failure.On the other hand the echocardiographic detection of LVH, LAE or left ventricular diastolic dysfunction is either time consuming or inconclusive in many patients. The various clinical phenotypes of HFpEF in the clinical back ground also make it diffcult to “fit one size for all”. Our presentation will focus on the various facets of missed diagnosed HFpEF. Bangladesh J Medicine 2023; Vol. 34, No. 2(1) Supplement: 181-182","PeriodicalId":8721,"journal":{"name":"Bangladesh Journal of Veterinary Medicine","volume":"145 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bangladesh Journal of Veterinary Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/bjm.v34i20.66117","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

One of the most common cause for “unexplained shortness of breath” is heart failure with preserved ejection fraction (HFpEF), that is frequently missed by the physician. Untill the wide use of BNP/NT ProBNP the term even remained unfamaliar to many of them. More over the concepts that, to make a diagnosis of HFpEF, a diastolic dysfunction is mandatory accounts for another cause of missing the diagnosis of HFpEF.The reality is Half of the all forms of heart failure is attributed to HFpEF. The diagnosis based on : the symptom of heart failure, the raised BNP/NT Pro BNP and any of the two of the either left venticular hypertrophy (LVH)/ left atrial enlargement (LAE) or features of diastolic dysfunction( as assessed by an echocadiography).The first criteria that is the symptom of heart failure is often non specific and frequently difficult to distinguish from other clinical conditions. The levels of BNP/NT ProBNP also needed to be defined according to various clinical conditions where there may be raised level of this biomarkers in the absence of heart failure.On the other hand the echocardiographic detection of LVH, LAE or left ventricular diastolic dysfunction is either time consuming or inconclusive in many patients. The various clinical phenotypes of HFpEF in the clinical back ground also make it diffcult to “fit one size for all”. Our presentation will focus on the various facets of missed diagnosed HFpEF. Bangladesh J Medicine 2023; Vol. 34, No. 2(1) Supplement: 181-182
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
心力衰竭伴保留射血分数(HFpEF):漏诊
“不明原因的呼吸短促”最常见的原因之一是心力衰竭并保留射血分数(HFpEF),这经常被医生忽略。直到BNP/NT ProBNP的广泛使用,这个术语对他们中的许多人来说仍然是陌生的。更重要的是,要诊断HFpEF,舒张功能障碍是强制性的,这是遗漏HFpEF诊断的另一个原因。事实上,所有形式的心力衰竭中有一半是由HFpEF引起的。诊断依据:心衰症状、BNP/NT Pro BNP升高、左心室肥厚(LVH)/左心房扩大(LAE)或舒张功能障碍(超声心动图评估)中的任意两种。作为心衰症状的第一个标准通常是非特异性的,并且常常难以与其他临床情况区分开来。BNP/NT ProBNP的水平也需要根据不同的临床情况来确定,在没有心力衰竭的情况下,这些生物标志物的水平可能会升高。另一方面,超声心动图检测LVH、LAE或左室舒张功能不全在许多患者中要么耗时,要么不确定。临床背景下HFpEF的各种临床表型也使其难以“一刀切”。我们的演讲将集中在漏诊HFpEF的各个方面。孟加拉国J医学2023;第34卷,第2号(1)补编:181-182
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Prevalence, duration of illness, and mortality of lumpy skin disease at Chuadanga Sadar Upazila, Bangladesh Evaluation of relative efficiency of oocyte collection techniques from abattoir-derived goat ovaries Constraints and recommendation for countrywide extension of artificial insemination in buffalo, goat and sheep Conception rates of cows inseminated with frozen semen of Rural Development Academy, Bogura, Bangladesh Welfare assessment of dairy cows in commercial farms in Chattogram, Bangladesh
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1